Individual
KEN K KWOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1384 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4010
(706) 858-8083
(706) 861-2745
Mailing address
869 TRAILSIDE LN SW, MARIETTA, GA 30064-3077
(770) 427-0005
(770) 427-0260
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
22808
GA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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