Azar, Kenneth A
Azar, Kenneth A is an sole proprietor health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Azar, Kenneth A can be contacted via phone (706) 432-7893.Contact Information
Primary practice address
3421 Mike Padgett Hwy
Augusta GA 30906-3815
Phone: (706) 432-7893
Fax: (706) 432-3780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 13721 | Georgia |
Profile Details
| NPI number | 1114902764 |
|---|---|
| LBN Legal business name | Azar, Kenneth A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jan 30th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114902764 | NPPES |
| Georgia | MEDICAID | 000606317B |
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