Organization
JOHN LEX KENERLY, III, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LEX KENERLY III MD (OWNER/PRESIDENT)
(912) 427-0800
Entity
Organization
Contact information
Practice address
811 S 1ST ST, JESUP, GA 31545-0209
(912) 427-0800
(912) 427-6029
Mailing address
PO BOX 1334, JESUP, GA 31598-1334
(912) 427-0800
(912) 427-6029
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
Enumeration date
02/28/2007
Last updated
03/23/2010
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