Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ken Ibeto

Individual provider Home Health Clinical Nurse Specialist · NPI 1053807347

Ken Ibeto is a Home Health Clinical Nurse Specialist in Lithia Springs, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018

Practice location Address checks out

7646 Forest Glen Way
Lithia Springs, GA 30122-6867
Phone: (678) 637-6249
Fax: (404) 393-4950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Clinical Nurse Specialist (primary) Taxonomy 364SH0200X · Licence 048-R-2014 (GA)

Record details

NPI number1053807347
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESJuly 10, 2018
Mailing address7646 Forest Glen Way, Lithia Springs, GA 30122-6867