Provider Demographics
NPI:1346556628
Name:KINSTON CHARTER ACADEMY
Entity Type:Organization
Organization Name:KINSTON CHARTER ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:KCA BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MBA
Authorized Official - Phone:252-702-1370
Mailing Address - Street 1:2000 DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-1845
Mailing Address - Country:US
Mailing Address - Phone:252-522-0210
Mailing Address - Fax:252-522-2584
Practice Address - Street 1:2000 DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-1845
Practice Address - Country:US
Practice Address - Phone:252-522-0210
Practice Address - Fax:252-522-2584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)