Ellner, Kenneth Mark
Ellner, Kenneth Mark is an individual health care provider with primary practice located at 1265 Upper Hembree Rd Suite 100, Roswell GA 30076-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ellner, Kenneth Mark can be contacted via phone (770) 750-1133.Contact Information
Primary practice address
1265 Upper Hembree Rd Suite 100
Roswell GA 30076-1143
Phone: (770) 750-1133
Fax: (770) 751-7410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 032377 | Georgia |
Profile Details
| NPI number | 1447259577 |
|---|---|
| LBN Legal business name | Ellner, Kenneth Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Nov 2nd, 2020 - about 4 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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