KENNETH DANIEL PAULK NPI 1396287959

NPI Information

NPI: 1396287959
Provider Name: KENNETH DANIEL PAULK
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
230 W CLOVERHURST AVE
ATHENS, GA
ZIP 30605
Phone: (912) 678-3186
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Kenneth Daniel Paulk is a student in an organized health care education training program in Athens, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kenneth Daniel Paulk NPI is 1396287959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 W CLOVERHURST AVE
ATHENS, GA
ZIP 30605-228
Phone: (912) 678-3186

The enumeration date for this NPI number is 11/14/2016 and was last updated on 11/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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