Cook, Kevin Dwayne

Cook, Kevin Dwayne is an sole proprietor health care provider with primary practice located at 1621 Line Cir #2, Decatur GA 30032-3336. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Cook, Kevin Dwayne can be contacted via phone (404) 838-9936.

Contact Information

Primary practice address
1621 Line Cir #2 Decatur GA 30032-3336
Phone: (404) 838-9936
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X Georgia

Profile Details

NPI number 1851724165
LBN Legal business name Cook, Kevin Dwayne
Credentials CPS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2013
Last updated Aug 11th, 2013 - about 12 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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