IndividualActive
Kevin Lane
NPI 1437640448 · Point of Service · Leland, NC
Provider details
- NPI number
- 1437640448
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
- License
- 83-0638824 (NC)
Specialties & taxonomies
Managed Care Organizations
Practice location
7149 Jennings Rd Ne
Leland, NC 28451-9431
Phone: (910) 231-5770
Approximate (ZIP-level) locationGet directions
Mailing address
7149 Jennings Rd Ne
Leland, NC 28451-9431
Registry dates
- Enumerated
- 2018-05-24
- Last updated
- 2018-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.