Provider Demographics
NPI:1538254206
Name:VERPILE, KENDY (MD)
Entity type:Individual
Prefix:DR
First Name:KENDY
Middle Name:
Last Name:VERPILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WESTPARK CT STE 200
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-3572
Mailing Address - Country:US
Mailing Address - Phone:678-783-0130
Mailing Address - Fax:678-802-3154
Practice Address - Street 1:401 WESTPARK CT STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269
Practice Address - Country:US
Practice Address - Phone:678-783-0130
Practice Address - Fax:678-802-3154
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94801207V00000X
NY235690207V00000X
GA76521207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
205952134OtherTRI CARE
NYP010235690OtherEXCELLUS BLUE CHOICE
NY195295CKOtherPREFERRED CARE
NYP020235690OtherEXCELLUS BLUE SHIELD
NY02838062Medicaid