Carson, Kevin L
Carson, Kevin L is an sole proprietor health care provider with primary practice located at 3886 Princeton Lakes Way Sw Ste 100 , Atlanta GA 30331-5511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Carson, Kevin L can be contacted via phone (770) 506-4007.Contact Information
Primary practice address
3886 Princeton Lakes Way Sw Ste 100
Atlanta GA 30331-5511
Phone: (770) 506-4007
Fax: (678) 246-5191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 043894 | Georgia |
Profile Details
| NPI number | 1649257825 |
|---|---|
| LBN Legal business name | Carson, Kevin L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | May 31st, 2023 - about last year |
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 | 1649257825 | NPPES |
| Georgia | MEDICAID | 000757314 |
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