Provider Demographics
NPI:1437176138
Name:MCNEAL-TRICE, KENYA A (MD)
Entity Type:Individual
Prefix:DR
First Name:KENYA
Middle Name:A
Last Name:MCNEAL-TRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC SCHOOL OF MEDICINE
Mailing Address - Street 2:CAMPUS BOX 7593
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7593
Mailing Address - Country:US
Mailing Address - Phone:919-966-3172
Mailing Address - Fax:919-966-8419
Practice Address - Street 1:UNC SCHOOL OF MEDICINE
Practice Address - Street 2:CAMPUS BOX 7593
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7593
Practice Address - Country:US
Practice Address - Phone:919-966-3172
Practice Address - Fax:919-966-8419
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-00929208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901945Medicaid
NC5901945Medicaid
I43866Medicare UPIN