Individual
DR. KENNETH EMEKA IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(770) 530-6646
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(254) 733-9134
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
079571
GA
207L00000X
Anesthesiology Physician
A131814
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2013
Last updated
02/20/2023
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