Individual provider · Type 1 NPI

Kenneth Edward Bodek, MD

Cardiovascular Disease Physician · Winston Salem, NC

NPI number 1871587923 Active

Practice location

186 Kimel Park Dr, Suite 400
Winston Salem, NC 27103-6946

Fax (336) 277-2050

Mailing address

PO Box 751803, Suite 400
Charlotte, NC 28275-1803

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X2013-01642 (NC)
Cardiovascular Disease Physician 207RC0000XMD046703L (PA)
Nuclear Cardiology Physician 207UN0901XMD046703L (PA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1871587923

Kenneth Edward Bodek, MD's National Provider Identifier is 1871587923, issued on Sep 6, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 15, 2023.