Individual
DR. KENNY R SINERVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6105 PEACHTREE DUNWOODY RD, BLDG. B; SUITE 230, ATLANTA, GA 30328
(770) 913-0001
(770) 913-0005
Mailing address
6105 PEACHTREE DUNWOODY RD, BLDG B; SUITE 230, ATLANTA, GA 30328
(770) 913-0001
(770) 913-0005
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
48574
GA
207VG0400X
Gynecology Physician
48574
GA
Other
Enumeration date
11/09/2006
Last updated
10/14/2016
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