National Provider Identifier Database

KENNETH L EDWARDS
Optician


Contact Information

KENNETH L EDWARDS
3886 GA HWY 17
EASTANOLLEE, GA30538
Phone: 706-297-7292
Fax: 706-297-7317
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for KENNETH L EDWARDS

NPI Number 1720851769
Credentials
Entity Individual
Enumeration date 11/01/2023
Last updated 11/01/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 1847
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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