Autry, Kenneth Dale
Autry, Kenneth Dale is an sole proprietor health care provider with primary practice located at 726 S 8Th St , Griffin GA 30224-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Autry, Kenneth Dale can be contacted via phone (770) 228-2273.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | RN162470 | Georgia |
Profile Details
| NPI number | 1083351464 |
|---|---|
| LBN Legal business name | Autry, Kenneth Dale |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2022 |
| Last updated | May 17th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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