Individual
KEVIN ISAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
(770) 793-5186
Mailing address
677 CHURCH ST NE LOWR LEVEL, MARIETTA, GA 30060-1101
(770) 793-5186
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88865
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
07/15/2021
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