Collins, Kenneth Ray
Collins, Kenneth Ray is an individual health care provider with primary practice located at 100 Carnegie Pl Suite 108, Fayetteville GA 30214-3905. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Collins, Kenneth Ray can be contacted via phone (770) 461-0188.Contact Information
Primary practice address
100 Carnegie Pl Suite 108
Fayetteville GA 30214-3905
Phone: (770) 461-0188
Fax: (770) 461-0488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 012476 | Georgia |
Profile Details
| NPI number | 1114006020 |
|---|---|
| LBN Legal business name | Collins, Kenneth Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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