Healthcare Provider Details

I. General information

NPI: 1457676629
Provider Name (Legal Business Name): KEN DENNY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DRAYTON ST SUITE 308
SAVANNAH GA
31401-2723
US

IV. Provider business mailing address

22 W BRYAN ST #134
SAVANNAH GA
31401-2604
US

V. Phone/Fax

Practice location:
  • Phone: 912-231-9403
  • Fax: 912-231-2312
Mailing address:
  • Phone: 912-231-9403
  • Fax: 912-231-2312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number001654
License Number StateGA

VIII. Authorized Official

Name: MR. KENNETH DENNY
Title or Position: OWNER
Credential:
Phone: 912-231-9403