Provider Demographics
NPI:1154302560
Name:ISBEY, EDWARD KENNETH III (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:KENNETH
Last Name:ISBEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2493
Mailing Address - Country:US
Mailing Address - Phone:828-258-1586
Mailing Address - Fax:828-258-6161
Practice Address - Street 1:8 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2493
Practice Address - Country:US
Practice Address - Phone:828-258-1586
Practice Address - Fax:828-258-6161
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC26670207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1086KOtherBCBS OF NC
NC0870021OtherUNITED HEALTHCARE
NC8945442Medicaid
NC0224210001Medicare NSC
NCC84675Medicare UPIN
NC1086KOtherBCBS OF NC