Provider Demographics
NPI:1558455808
Name:KARB, KENNETH SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:SAMUEL
Last Name:KARB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 NC HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-9609
Mailing Address - Country:US
Mailing Address - Phone:336-427-9022
Mailing Address - Fax:336-427-9030
Practice Address - Street 1:2150 NC HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-9609
Practice Address - Country:US
Practice Address - Phone:336-427-9022
Practice Address - Fax:336-427-9030
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22485207R00000X, 207RH0003X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC26223OtherMEDCOST
NC4487OtherPARTNERS MEDICARE
NC4275508OtherAETNA
NC8947811Medicaid
NC47811OtherBCBS NC
NC4487OtherPARTNERS MEDICARE
207738CMedicare PIN
NC207738CMedicare PIN