Active NPIIndividual providerSole proprietor

Kenneth Disbrow

Emergency Medicine in Atlanta, Georgia

NPI Number1538691191
Practice location
49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049
Fax
404-688-6355
Last updated
August 12, 2021

Kenneth Disbrow is an Emergency Medicine based in Atlanta, GA. Kenneth Disbrow practices in Atlanta, GA. The NPI Number for Kenneth Disbrow is 1538691191 and holds a License No. 81606 (GA). The current practice location address for Kenneth Disbrow is 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049 and can be reached out via phone at 404-251-8865 and via fax at 404-688-6355.

Provider Profile Details

NPI Number
1538691191
Provider Name
Kenneth Disbrow
Provider Entity Type
Individual
Gender
Male
Address
49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049
Phone Number
404-251-8865
Fax Number
404-688-6355
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 31, 2017
Last Update Date
August 12, 2021
Certification Date
August 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
State
Georgia
Zip
30303-3049
Phone Number
404-251-8865
Fax Number
404-688-6355
Atlanta, GA 30303Get directions →

Provider Business Mailing Address Details

Address
1540 Gregory Ave
Union, NJ 07083-5542
City
Union
State
NJ
Zip
07083-5542
Phone Number
908-612-0587

License Information

License Number
81606
License State
GA
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Disbrow?

The NPI number of Kenneth Disbrow is 1538691191. It was assigned on March 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Kenneth Disbrow?

Kenneth Disbrow is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in GA under license number 81606.

Where does Kenneth Disbrow practice?

The practice location is 49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049. The office can be reached at 404-251-8865 (phone) or 404-688-6355 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538691191 directly on the NPPES registry website.

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