KENNETH DANIEL PAULK

ATHENS, GA
NPI1396287959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-11-14
Last Update Date2016-11-14
Business Address
KENNETH DANIEL PAULK
230 W CLOVERHURST AVE
ATHENS, GA 30605-1228
Phone number: 912-678-3186
Mailing Address
KENNETH DANIEL PAULK
230 W CLOVERHURST AVE
ATHENS, GA 30605-1228
Phone number:
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