Kenerly, J Lex

Kenerly, J Lex is an individual health care provider with primary practice located at 110 Professional Ct , Jesup GA 31545-0044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kenerly, J Lex can be contacted via phone (912) 427-0800.

Contact Information

Primary practice address
110 Professional Ct Jesup GA 31545-0044
Phone: (912) 427-0800
Fax: (912) 427-6029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 030633 Georgia

Profile Details

NPI number 1699772228
LBN Legal business name Kenerly, J Lex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jun 30th, 2015 - about 9 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 1699772228 NPPES
Georgia Other 10062286 AMERIGROUP
Georgia Other 341213 AMERIGROUP
Georgia MEDICAID 000374921A AMERIGROUP
Georgia MEDICAID 000374921H AMERIGROUP
Georgia MEDICAID 00374921F AMERIGROUP
Georgia Other 200004881 AMERIGROUP

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