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

Mr. Kenneth Craig Stallings, LO

Individual provider Specialist · NPI 1205900909

Mr. Kenneth Craig Stallings, LO is a Specialist in Blue Ridge, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
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Practice location Address checks out

5801 Blue Ridge Dr
Blue Ridge, GA 30513-3245
Phone: (706) 632-0384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 00013 (GA)

Record details

NPI number1205900909
Entity typeIndividual (Type 1)
GenderMale
Credentials LO
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESFebruary 15, 2013

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