Mclendon, Kennon A

Mclendon, Kennon A is an sole proprietor health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mclendon, Kennon A can be contacted via phone (706) 571-1200.

Contact Information

Primary practice address
710 Center St Columbus GA 31901-1527
Phone: (706) 571-1200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 033393 Georgia

Profile Details

NPI number 1093758013
LBN Legal business name Mclendon, Kennon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jul 26th, 2013 - about 12 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 1093758013 NPPES
Georgia MEDICAID 00466419E
Georgia MEDICAID 009604590
Georgia Other 080054989

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