Provider Demographics
NPI:1588610984
Name:KEHAYES, ALEXANDER RYLAND (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:RYLAND
Last Name:KEHAYES
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:PO BOX 1385
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-1385
Mailing Address - Country:US
Mailing Address - Phone:252-209-3159
Mailing Address - Fax:250-209-3049
Practice Address - Street 1:500 ACADEMY ST S
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3248
Practice Address - Country:US
Practice Address - Phone:252-209-3159
Practice Address - Fax:250-209-3049
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17376207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131WCOtherBCBS OF NC
NC194121OtherMEDCOST
NCCH9789OtherRR MEDICARE GROUP NUMBER-
NC89131WCMedicaid
NC2003146AMedicare PIN
NCC64161Medicare UPIN