Individual
DR. JEFFREY KENNETH KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 TALBOTTON RD, COLUMBUS, GA 31904
(706) 596-4894
(706) 320-0629
Mailing address
800 TALBOTTON RD, COLUMBUS, GA 31904
(706) 596-4894
(706) 320-0629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252539178A
—
GA
Enumeration date
07/06/2006
Last updated
07/24/2020
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