Mr. Kenneth C. Boatner ED.D.,MPH
Psychologist in Atlanta, GA(View on Map)
Full Name
Mr. Kenneth Carter Boatner ED.D.,MPH
NPI Number
1306221411
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/30/2015
Specialties
(Taxonomies)Licenses
State
Georgia
Massachusetts
License Number
003786
4286
Contact
Information
Purpose
Mailing
Location
Address
565 PEACHTREE ST NE UNIT 1407
565 PEACHTREE STREET, N.E.
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30308-2277
30308-2277
Country
US
US
Telephone Number
(617) 784-3535
(617) 784-3535
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/12/2015