Boatner, Kenneth Carter

Boatner, Kenneth Carter is an individual health care provider with primary practice located at 565 Peachtree Street, N.E. Suite 1407, Atlanta GA 30308-2277. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Boatner, Kenneth Carter can be contacted via phone (617) 784-3535.

Contact Information

Primary practice address
565 Peachtree Street, N.E. Suite 1407 Atlanta GA 30308-2277
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003786 Georgia
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4286 Massachusetts

Profile Details

NPI number 1306221411
LBN Legal business name Boatner, Kenneth Carter
Credentials ED.D.,MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Aug 12th, 2015 - about 10 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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