Individual provider · Type 1 NPI

Kenneth Daniel Paulk

Student in an Organized Health Care Education/Training Program · Athens, GA

NPI number 1396287959 Active

Practice location

230 W Cloverhurst Ave
Athens, GA 30605-1228

Call (912) 678-3186 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396287959

Kenneth Daniel Paulk's National Provider Identifier is 1396287959, issued on Nov 14, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Athens, GA. The record was last updated on Nov 14, 2016.