Individual provider · Type 1 NPI

Lysle Kennedy Ailstock, MD

Body Imaging Physician · Greenville, NC

NPI number 1912989898 Active

Practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Call (252) 752-5000 Map

Fax (252) 931-7694

Mailing address

PO Box 30750
Greenville, NC 27833-0750

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician Primary 2085B0100X9600437 (NC)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

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About NPI 1912989898

Lysle Kennedy Ailstock, MD's National Provider Identifier is 1912989898, issued on Nov 16, 2005. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Greenville, NC. The record was last updated on Apr 27, 2022.