Marks, Kenneth Jay

Marks, Kenneth Jay is an individual health care provider with primary practice located at 131 N Jefferson St Ne , Milledgeville GA 31061-5513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Marks, Kenneth Jay can be contacted via phone (478) 445-4817.

Contact Information

Primary practice address
131 N Jefferson St Ne Milledgeville GA 31061-5513
Phone: (478) 445-4817
Fax: (478) 445-4817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 035293 Georgia

Profile Details

NPI number 1982675468
LBN Legal business name Marks, Kenneth Jay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Aug 31st, 2009 - about 16 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 1982675468 NPPES
Georgia Other GRP1997 MEDICARE ORGANIZATION PTAN
Georgia Other GRP2030 MEDICARE ORGANIZATION PTAN

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