Delay, Kenneth Jackson
Delay, Kenneth Jackson is an sole proprietor health care provider with primary practice located at 1538 13Th Ave Ste A , Columbus GA 31901-2544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Delay, Kenneth Jackson can be contacted via phone (706) 323-4000.Contact Information
Primary practice address
1538 13Th Ave Ste A
Columbus GA 31901-2544
Phone: (706) 323-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | ME132919 | Florida |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 301759 | Louisiana |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 86376 | Georgia |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 86892 | South Carolina |
Profile Details
NPI number | 1699092056 |
---|---|
LBN Legal business name | Delay, Kenneth Jackson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2010 |
Last updated | Nov 22nd, 2021 - about 3 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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