Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH DALE AUTRY, FNP
Active Sole ProprietorMR. KENNETH DALE AUTRY, FNP is a Family Medicine healthcare provider located in GRIFFIN, Georgia. NPI 1083351464 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRIFFIN, GA
Registration Details
- NPI Number
- 1083351464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2022 (4.2370041886701 yrs)
- Last Updated
- May 17, 2022
- License
-
RN162470 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
726 S 8TH STGRIFFIN, GA, 302244827Browse GA providers · Browse ZIP 30224
- Phone
- 7702282273
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRIFFIN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL DEAN BIDDLE | M.D. | 1679579668 |
| DAVID ANTHONY DE LA SIERRA | M.D. | 1316056369 |
| JAMES GORE | MD | 1407968035 |
| DAVID ARTHUR VAN | M.D. | 1851452254 |
| VICKI LYNDALL VAN | M.D. | 1124181086 |
| KYONG ROK MOON | M.D. | 1326263401 |
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.