Walton, Kenneth Brian

Walton, Kenneth Brian is an individual health care provider with primary practice located at 1058 Bermuda Run Road , Statesboro GA 30458-0858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Walton, Kenneth Brian can be contacted via phone (912) 871-7100.

Contact Information

Primary practice address
1058 Bermuda Run Road Statesboro GA 30458-0858
Phone: (912) 871-7100
Fax: (912) 871-7110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 065436 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 065436 Georgia

Profile Details

NPI number 1699719179
LBN Legal business name Walton, Kenneth Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 17th, 2020 - about 5 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 1699719179 NPPES
Georgia Other P01108293 RAILROAD MEDICARE
Georgia Other 52343669 RAILROAD MEDICARE
Georgia Other 626252 RAILROAD MEDICARE
Georgia MEDICAID 003107922A RAILROAD MEDICARE
Georgia Other 014459259 RAILROAD MEDICARE

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