Dolen, William Kennedy

Dolen, William Kennedy is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Dolen, William Kennedy can be contacted via phone (707) 721-2390.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (707) 721-2390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036137 Georgia
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 036137 Georgia

Profile Details

NPI number 1649274630
LBN Legal business name Dolen, William Kennedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jan 18th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649274630 NPPES
Georgia MEDICAID 000515996A
Georgia MEDICAID G08300

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