NPIRadar

Kenneth Andrew Conrad, M.D. Valid NPI

Individual provider · Family Medicine Physician · Kings Bay, GA

NPI
1699762997
Type
Individual (Type 1)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
ME 72302 (FL)
Sex
Male
Sole proprietor
No
Enumerated
2005-10-02
Last updated
2010-03-18
Practice location
881 Uss James Madison Rd, Naval Branch Health Clinic
Kings Bay, GA 31547-2531
(912) 573-8801

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