Marvin, Kenneth S
Marvin, Kenneth S is an individual health care provider with primary practice located at 101 Harris Industrial Blvd Suite A, Vidalia GA 30474-8852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Marvin, Kenneth S can be contacted via phone (912) 535-3500.Contact Information
Primary practice address
101 Harris Industrial Blvd Suite A
Vidalia GA 30474-8852
Phone: (912) 535-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 075321 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 171074 | New York |
Profile Details
| NPI number | 1417035221 |
|---|---|
| LBN Legal business name | Marvin, Kenneth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 10th, 2021 - about 3 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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