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Contact Information

KEN Y AVILA, APRN, FNP-C
2122 MANCHESTER EXPY
COLUMBUS, GA31904-6878
 Phone: 706-596-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEN Y AVILA · (Male)

NPI # 1396570594
Status Active
Credentials APRN, FNP-C
Entity Individual
Enumeration date 09/06/2024
Last updated 09/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # RN241179
Hospital affiliation(s) Not Available
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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