Kenny Esho
Pediatrician
1120 15th St
Augusta
, Georgia 30912-0004
Kenny Esho
Pediatrician
1120 15th St
Augusta
, Georgia 30912-0004
(574) 850-2999
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Kenny Esho
- 1120 15th St
- Augusta, GA
- Zip : 30912-0004
- Phone : (574) 850-2999
Second Address
- Kenny Esho
- 1120 15th St
- Augusta, GA
- Zip : 30912-0004
- Phone : (574) 850-2999
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 6904 | GA |
National Provider Identifier
| NPI | 1003221342 |
|---|---|
| Provider Name | Kenny Esho |
| First Address | Augusta, GA 30912-0004 |
| Second Address | Augusta, GA 30912-0004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2014 |
| Last Update Date | 25/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.