Vega, Kenneth John
Vega, Kenneth John is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-2761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Vega, Kenneth John can be contacted via phone (706) 721-8623.Contact Information
Primary practice address
1120 15Th St
Augusta GA 30912-2761
Phone: (706) 721-8623
Fax: (706) 721-1459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME82094 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME82094 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 56528 | Colorado |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 27368 | Oklahoma |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 079942 | Georgia |
Profile Details
| NPI number | 1962479238 |
|---|---|
| LBN Legal business name | Vega, Kenneth John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2006 |
| Last updated | Apr 10th, 2018 - about 6 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 | 1962479238 | NPPES |
| Florida | MEDICAID | 2604078-00 | |
| Florida | Other | 1000114763 |
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