Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEN IBETO
ActiveKEN IBETO is a Home Health Clinical Nurse Specialist healthcare provider located in LITHIA SPRINGS, Georgia. NPI 1053807347 is currently active in the NPPES registry. Verify at CMS.
Home Health Clinical Nurse Specialist · LITHIA SPRINGS, GA
Registration Details
- NPI Number
- 1053807347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2018 (8.142471621478 yrs)
- Last Updated
- Jul 10, 2018
- License
-
048-R-2014 (GA)
Practice Information
- Address
-
7646 FOREST GLEN WAYLITHIA SPRINGS, GA, 301226867Browse GA providers · Browse ZIP 30122
- Phone
- 6786376249
- Fax
- 4043934950
- Primary Specialty
-
Home Health Clinical Nurse Specialist
364SH0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.