Individual
DR. KENNETH P LYNCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
598 NANCY ST NW, SUITE 100, MARIETTA, GA 30060-1362
(770) 952-8899
Mailing address
598 NANCY ST NW, SUITE 100, MARIETTA, GA 30060-1362
(770) 952-8899
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
052598
GA
2085R0202X
Diagnostic Radiology Physician
Primary
052598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
914522749A
—
GA
Enumeration date
03/24/2006
Last updated
07/30/2010
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