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Individual

MR. KENNETH MARK ARMSTRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CVRT

Contact information

Practice address
1 FREEDOM WAY, BR 271, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, BR 271, AUGUSTA, GA 30904-6258
(706) 733-0188

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
6351
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6351
ACVREP
SC
Enumeration date
12/13/2012
Last updated
12/13/2012
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