Individual
KENNETH CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 A EXCHANGE PLACE, CONYERS, GA 30013-6723
(770) 483-4431
(770) 760-7200
Mailing address
2213 A EXCHANGE PLACE, CONYERS, GA 30013-6723
(770) 483-4431
(770) 760-7200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
062825
GA
208000000X
Pediatrics Physician
NY241700
NY
Other
Enumeration date
09/22/2006
Last updated
11/16/2009
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