Individual
DR. KENNETH HOWARD JOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 OLD MILTON PKWY, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Mailing address
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005-4437
(770) 391-3979
(770) 391-0020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
027837
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
027837
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000383556B
—
GA
05
—
000383556C
—
GA
05
—
000383556D
—
GA
05
—
000383556E
—
GA
05
—
000383556F
—
GA
05
—
000383556G
—
GA
01
—
050044306
RAILROAD MEDICARE
GA
Enumeration date
09/23/2005
Last updated
12/10/2018
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