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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649257825 NPPES
Georgia MEDICAID 000757314

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