Frontman, Kenneth Charles

Frontman, Kenneth Charles is an sole proprietor health care provider with primary practice located at 1150 Upper Hembree Road , Roswell GA 30076-1142. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Frontman, Kenneth Charles can be contacted via phone (678) 624-0930.

Contact Information

Primary practice address
1150 Upper Hembree Road Roswell GA 30076-1142
Phone: (678) 624-0930
Fax: (678) 624-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 001835 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1835 Georgia

Profile Details

NPI number 1568525202
LBN Legal business name Frontman, Kenneth Charles
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated May 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568525202 NPPES
Georgia MEDICAID 00672526B

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