Bingham, Kenneth Brooke
Bingham, Kenneth Brooke is an sole proprietor health care provider with primary practice located at 100 Three Rivers Dr Ne Ste A , Rome GA 30161-4999. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bingham, Kenneth Brooke can be contacted via phone (709) 292-0040.Contact Information
Primary practice address
100 Three Rivers Dr Ne Ste A
Rome GA 30161-4999
Phone: (709) 292-0040
Fax: (706) 378-0556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 9270 | Georgia |
Profile Details
| NPI number | 1770131104 |
|---|---|
| LBN Legal business name | Bingham, Kenneth Brooke |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Oct 10th, 2019 - about 6 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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