Frontin, Kenny M
Frontin, Kenny M is an individual health care provider with primary practice located at 2470 Mount Zion Pkwy Department Of Gastroenterology, Jonesboro GA 30236-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Frontin, Kenny M can be contacted via phone (770) 603-3822.Contact Information
Primary practice address
2470 Mount Zion Pkwy Department Of Gastroenterology
Jonesboro GA 30236-2500
Phone: (770) 603-3822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 035417 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 035417 | Georgia |
Profile Details
| NPI number | 1740280627 |
|---|---|
| LBN Legal business name | Frontin, Kenny M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740280627 | NPPES |
| Georgia | MEDICAID | 000506547A |
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