Individual provider · Type 1 NPI

Kenneth Genova, MD

Specialist · Lagrange, GA

NPI number 1548239148 Active

Practice location

300 Medical Dr, Suite 705
Lagrange, GA 30240-4155

Call (706) 885-0111 Map

Fax (706) 885-0607

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X036977 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1548239148

Kenneth Genova, MD's National Provider Identifier is 1548239148, issued on Mar 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lagrange, GA. The record was last updated on May 16, 2008.