Kenneth G. Kupke M.D.

NPI 1053319228 - Pediatrics - 2080N0001X

NPI Details
NPI 1053319228
Gender Male
Enumeration Date 07/12/2005
Last Updated 04/13/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
5901 PEACHTREE DUNWOODY RD NE
SUITE B 420
ATLANTA GA, 30328-5382, US
Phone (404) 252-9751
Fax (678) 990-5763
Business Location
5901 PEACHTREE DUNWOODY RD NE
SUITE B 420
ATLANTA GA, 30328-5382, US
Phone (404) 252-9751
Fax (678) 990-5763
Toxanomy
Taxonomy Code 2080N0001X
License State Georgia
License Number 034637
Remove 1053319228 NPI Number
 

According to our database, Dr. Kenneth G. Kupke M.D. NPI is 1053319228, taxonomy code is 2080N0001X and license number is 034637, license state is located at Georgia. Kenneth G. Kupke M.D. physically located at 5901 Peachtree Dunwoody Rd Ne, Atlanta GA, 30328-5382. NPI Number Kenneth G. Kupke M.D. has the Individual type.

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1053319228 NPI number is provided on an as is basis without warranty of any kind. 1053319228 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth G. Kupke M.D. are for informational purposes only.