Kenneth C. Holbrook, PA

NPI #1194790139 in Austell, Georgia

Provider Information

NPI Number: 1194790139
Entity Type: Individual
Name: Kenneth C. Holbrook, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 22, 2006
Last Updated: May 20, 2011

Practice Location

Address: 2041 MESA VALLEY WAY
Address 2: SUITE 100
City: Austell
State: Georgia
ZIP Code: 30106-6828
Phone: (770) 944-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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