Kenworthy, Kevin Lee

Kenworthy, Kevin Lee is an individual health care provider with primary practice located at 2501 N Patterson St Sgmc, Valdosta GA 31602-1735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kenworthy, Kevin Lee can be contacted via phone (229) 244-6852.

Contact Information

Primary practice address
2501 N Patterson St Sgmc Valdosta GA 31602-1735
Phone: (229) 244-6852
Fax: (229) 242-2385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49302 Georgia

Profile Details

NPI number 1437127875
LBN Legal business name Kenworthy, Kevin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 9th, 2007 - 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 1437127875 NPPES
Georgia MEDICAID 00881867A

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