Individual
DR. KENNETH OBIMPEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2675 MAIN ST W, SNELLVILLE, GA 30078-3161
(404) 659-5909
(770) 399-9449
Mailing address
2675 MAIN ST W, SNELLVILLE, GA 30078-3161
(404) 659-5909
(770) 399-9449
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7418
GA
Other
Enumeration date
10/17/2014
Last updated
10/26/2023
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