Wenslow, Kenneth Dale

Wenslow, Kenneth Dale is an individual health care provider with primary practice located at 12389 Crabapple Rd , Alpharetta GA 30004-6328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wenslow, Kenneth Dale can be contacted via phone (470) 299-1998.

Contact Information

Primary practice address
12389 Crabapple Rd Alpharetta GA 30004-6328
Phone: (470) 299-1998
Fax: (470) 299-1898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002823 Georgia

Profile Details

NPI number 1295805661
LBN Legal business name Wenslow, Kenneth Dale
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Dec 28th, 2023 - about 2 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 1295805661 NPPES
Georgia Other 002823 LICENSE NUMBER

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