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DR. KENNETH M SAMPLE M.D.
NPI 1205800596
Surgery in Camp Lejeune, NC

Active since February 14, 2006
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547(910) 450-4760 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth M Sample M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH M SAMPLE M.D. (NPI 1205800596) is an individual surgery provider in Camp Lejeune, North Carolina, licensed in Kentucky (24465) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1205800596
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KENNETH M SAMPLECredential: M.D.
Location Address100 BREWSTER BLVDCamp Lejeune, NC 28547-2575
Mailing Address897 Lynchburg DrJacksonville, NC 28546-6018 · (910) 381-6942
Phone(910) 450-4760
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateFebruary 12, 2020
✔ NPI 1205800596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 24465✔ Licensed in IN · 01053054A✔ Licensed in VA · 0101253264
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 BREWSTER BLVD, Camp Lejeune, NC 28547
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JUSTIN THOMAS DAUGHTRY D.O.
Emergency Medicine
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4841
MR. JASON HUSON GIECKO
Military Health Care Provider (Independent Duty Corpsman)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 451-5125
MRS. HOLLY F CARTER LPT
Physical Therapist
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2538
JEREMY MOORE CRNA
Nurse Anesthetist, Certified Registered
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4357
DANIELLE BERNAL MD
Surgery
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4860
ZAINAB AL CHALABI SAVARD APRN
Nurse Practitioner (Adult Health)
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 449-2779
SAMANTHA ELIZABETH KING MD
Student in an Organized Health Care Education/Training Program
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4408
MATTHEW PATRICK SULLIVAN MD
Emergency Medicine
100 BREWSTER BLVD, NAVAL HOSPITAL
CAMP LEJEUNE, NC 28547
Onslow County (910) 450-4159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Sample's NPI number?

The NPI number for Kenneth Sample is 1205800596. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kenneth Sample located?

Kenneth Sample practices at 100 Brewster Blvd, Camp Lejeune, NC 28547. The listed phone number is (910) 450-4760.

What is Kenneth Sample's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Kenneth Sample was last updated on February 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.