Kenneth Daniel Paulk
Kenneth Daniel Paulk is a Student in an Organized Health Care Education/Training Program in Athens, Georgia. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
230 W Cloverhurst AveAthens, GA 30605-1228
Phone: (912) 678-3186
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1396287959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2016 |
| Last updated in NPPES | November 14, 2016 |
| Mailing address | 230 W Cloverhurst Ave, Athens, GA 30605-1228 |
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