Funk, Kathleen G

Funk, Kathleen G is an individual health care provider with primary practice located at 1000 Johnson Ferry Rd Ne , Atlanta GA 30342-1606. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Funk, Kathleen G can be contacted via phone (404) 851-6936.

Contact Information

Primary practice address
1000 Johnson Ferry Rd Ne Atlanta GA 30342-1606
Phone: (404) 851-6936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 037997 Georgia

Profile Details

NPI number 1841264140
LBN Legal business name Funk, Kathleen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Dec 19th, 2008 - about 17 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 1841264140 NPPES
Georgia MEDICAID 000779688C
Georgia Other 920400
Georgia MEDICAID 000779688
Georgia MEDICAID 000779688D
Georgia Other 333404
Georgia Other 10038142
Georgia Other 10472
Georgia Other 202976

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