Individual provider Active NPI

Kenneth Curt Molkner, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1760541106
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
009566 Issued in GA
Practice address
114 River Park Dr NW
Atlanta, GA 30328-1123
Phone
(770) 394-8254
Fax
(770) 394-8254
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 009566 GA Primary

Addresses

Primary practice location

114 River Park Dr NW
Atlanta, GA 30328-1123

Mailing address

114 River Park Dr NW
Atlanta, GA 30328-1123
Phone (770) 394-8254

Other identifiers 2

IdentifierTypeStateIssuer
00252975CMedicaidGA
581146054OtherGAFED TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009566GAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1760541106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RIVER PARK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281123",
            "telephone_number": "770-394-8254",
            "fax_number": "770-394-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 RIVER PARK DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281123",
            "telephone_number": "770-394-8254",
            "fax_number": "770-394-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLKNER",
        "first_name": "KENNETH",
        "middle_name": "CURT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "009566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00252975C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "581146054",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.