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

Primary practice address
726 S 8Th St Griffin GA 30224-4827
Phone: (770) 228-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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