Kupke, Kenneth G.
Kupke, Kenneth G. is an individual health care provider with primary practice located at 5901 Peachtree Dunwoody Rd Ne Suite B 420, Atlanta GA 30328-5382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kupke, Kenneth G. can be contacted via phone (404) 252-9751.Contact Information
Primary practice address
5901 Peachtree Dunwoody Rd Ne Suite B 420
Atlanta GA 30328-5382
Phone: (404) 252-9751
Fax: (678) 990-5763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 034637 | Georgia |
Profile Details
| NPI number | 1053319228 |
|---|---|
| LBN Legal business name | Kupke, Kenneth G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Apr 13th, 2011 - about 13 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 | 1053319228 | NPPES |
| Georgia | MEDICAID | 00470434A | |
| Georgia | MEDICAID | 00470434D | |
| Georgia | MEDICAID | 00470434E |
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