Individual
KENNA S. GIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2198
(706) 721-5748
Mailing address
748 TRIPPS CT, AUGUSTA, GA 30909-1816
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
013847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA764
—
SC
Enumeration date
04/19/2006
Last updated
11/19/2007
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