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Deactivated NPI 1508973496 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth C Williams , DC

Chiropractor • Pembroke, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 24, 2006
NPI Deactivation Date June 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Williams, DC was a registered Chiropractor practicing in Pembroke, NC. Throughout an active medical career spanning 18 years, Dr. Williams provided care at the practice location at 401 E 3RD ST until profile deactivation on 2024-06-19.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

401 E 3rd St

Pembroke, NC 283728889

Telephone 9105217800
Fax 9105217893
Associated Practice Facility / Clinic
🏢 Hinco Llc Facility NPI 1417285511

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Pembroke, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Pembroke, NC (2302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
83 11 $40.20 $39.79

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NC 2534

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053428912

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 E 3RD ST, PEMBROKE, NC 283728889 (Tel: 9105217800)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3028, PEMBROKE, NC 283723028 (Tel: 9105217800)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH WILLIAMS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2534 in NC)

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Initial NPI Registration & Enumeration August 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508973496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2006
Last Update: July 08, 2007
Deactivation Date: June 19, 2024

Mailing Address

Po Box 3028

Pembroke, NC 283723028

Phone: 9105217800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.