Provider Demographics
NPI:1477808756
Name:RING, KENNETH LAWRENCE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:LAWRENCE
Last Name:RING
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 N BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4812
Mailing Address - Country:US
Mailing Address - Phone:843-284-2273
Mailing Address - Fax:910-692-4498
Practice Address - Street 1:361 N BENNETT ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387
Practice Address - Country:US
Practice Address - Phone:843-284-2273
Practice Address - Fax:910-692-4498
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3759111N00000X
NC4981111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor