Individual
DR. KENNETH MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1459 MONTREAL RD STE 304, TUCKER, GA 30084-6920
(404) 251-3420
Mailing address
1459 MONTREAL RD STE 304, TUCKER, GA 30084-6920
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT013026
GA
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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