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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH C. HOLBROOK, PA

Active

KENNETH C. HOLBROOK, PA is a Physician Assistant healthcare provider located in AUSTELL, Georgia. NPI 1194790139 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUSTELL, GA

Registration Details

NPI Number
1194790139
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2006 (20.431017605243 yrs)
Last Updated
May 20, 2011
License
003877 (GA)

Practice Information

Address
2041 MESA VALLEY WAY
SUITE 100
AUSTELL, GA, 301066828
Browse GA providers · Browse ZIP 30106
Phone
7709441100
Fax
7709446469
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AUSTELL, GA

Name Credential NPI
MR. BRANDON D WEST PA 1871598425
MS. ELIZABETH P RAMBO PA-C 1912991464
MS. MELISSA ELLEN JONES-ASHMORE P. A. - C. 1659347045
STACY H. KENDRICK PA 1821064395
ALAN THOMAS KIPPENY PA-C 1487680849
MRS. SARAH REBECCA CAYLOR PA-C 1871513507
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.