Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth M Sample, MD

Individual provider Surgery Physician · NPI 1205800596

Dr. Kenneth M Sample, MD is a Surgery Physician in Camp Lejeune, North Carolina. Licensed in Indiana, Kentucky and Virginia. Registered with an NPI since 2006.

Licensed in
IN, KY, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone: (910) 450-4760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 24465 (KY)
Surgery Physician Taxonomy 208600000X · Licence 01053054A (IN)
Surgery Physician Taxonomy 208600000X · Licence 0101253264 (VA)

Record details

NPI number1205800596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing address897 Lynchburg Dr, Jacksonville, NC 28546-6018

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