Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 78448 | GA |
N | 2080A0000X | Adolescent Medicine | A26103 | CA |
NPI | 1114010725 |
---|---|
Provider Name | Dr. Kenneth V. Akey |
First Address | Kalispell, GA 59901-2156 |
Second Address | Kalispell, GA 59901-2156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 15/12/2020 |