Individual
J LEX KENERLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
030633
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000374921A
—
GA
05
—
000374921H
—
GA
05
—
00374921F
—
GA
01
—
10062286
AMERIGROUP
GA
01
—
200004881
MEDICARE RAILROAD
GA
01
—
341213
WELLCARE
GA
Enumeration date
06/28/2005
Last updated
06/30/2015
Update your record
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