Ken K Kwok, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

22808 Issued in GA

Practice address

1384 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4010

Phone

(706) 858-8083

Fax

(706) 861-2745

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C & C Medical Group, Inc.

  • General Practice Physician
  • Fort Oglethorpe, GA
  • NPI 1871649525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1366600322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 TRAILSIDE LN SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643077",
            "telephone_number": "770-427-0005",
            "fax_number": "770-427-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424010",
            "telephone_number": "706-858-8083",
            "fax_number": "706-861-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "KEN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "22808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Brooke Keeton
• Linda Jong Un Kim, M.D.
• Taylor Kinnison, PT, DPT
• Terry Knighton, CAC
• Ira H Kraus, DPM
• Trisha Lawson
• Lee Family Dentstry, LLC
• Nicole Everett Lee, OTR/L
• Sungchan Lee
• Tanner Mitchell Lee

• Adult Medicine Physician in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.