Provider Demographics
NPI:1114010725
Name:AKEY, KENNETH V (MD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:V
Last Name:AKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N COVE DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-4847
Mailing Address - Country:US
Mailing Address - Phone:770-683-3020
Mailing Address - Fax:833-341-1131
Practice Address - Street 1:3025 STATE ST
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1598
Practice Address - Country:US
Practice Address - Phone:770-683-3020
Practice Address - Fax:833-341-1131
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA261032080A0000X
MTMED-PHYS-LIC-913212080A0000X
GA784482080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine