Provider Demographics
NPI:1942225446
Name:COHEN, KENNETH LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:LEE
Last Name:COHEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:130 MASON FARM RD
Mailing Address - Street 2:5151 BIOINFORMATICS BUILDING, CB# 7040
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7040
Mailing Address - Country:US
Mailing Address - Phone:919-966-5296
Mailing Address - Fax:919-966-1908
Practice Address - Street 1:106 MASON FARM RD
Practice Address - Street 2:KITTNER EYE CENTER
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7720
Practice Address - Country:US
Practice Address - Phone:919-966-2061
Practice Address - Fax:919-966-6482
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-10-21
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Provider Licenses
StateLicense IDTaxonomies
NC22903207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8923525Medicaid
NCC83285Medicare UPIN
NC8923525Medicaid