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NPI Code Detail

MEDICARE: DR. KENNETH CURT MOLKNER MD

MEDICARE: DR. KENNETH CURT MOLKNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician009566GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2581146054OTHERGAFED TAX ID

General Provider Information

NPI Number : 1760541106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH CURT MOLKNER MD
Provider Business Mailing Address
First Line : 114 RIVER PARK DR NW
Second Line :
City : ATLANTA
State : GA
Zip : 30328-1123
Country : US
Telephone Number : 770-394-8254
Fax Number : 770-394-8254
Provider Business Practice Location Address
First Line : 114 RIVER PARK DR NW
Second Line :
City : ATLANTA
State : GA
Zip : 30328-1123
Country : US
Telephone Number : 770-394-8254
Fax Number : 770-394-8254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 02/18/2016

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