OrganizationActive
Cleveland Health Ventures LLC
NPI 1396070652 · Infectious Disease Physician · Kings Mountain, NC
Provider details
- NPI number
- 1396070652
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cleveland Health Ventures LLC
- Organization subpart
- Yes
- Authorized official
- Daniel Wiens, Senior Vice President(704) 355-0648
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
502 W King St
Suite B
Kings Mountain, NC 28086-3362
Phone: (980) 487-2299
Fax: (704) 730-8262
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 602341
Charlotte, NC 28260-2341
Other names (DBA / former)
- Doing business as
- Kings Mountain Infectious Disease
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2010-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.