Kenneth C Molkner MD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

009566 Issued in GA

Legal business name

KENNETH C MOLKNER MD PC

Practice address

2501 Windy Hill Rd SE
Suite 245
Marietta, GA 30067-8663

Phone

(770) 394-8254

Fax

(770) 953-8320

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth C Molkner, MD

Title

Owner

Phone

(770) 394-8254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1962655324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WINDY HILL RD SE",
            "address_2": "SUITE 245",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678663",
            "telephone_number": "770-394-8254",
            "fax_number": "770-953-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WINDY HILL RD SE",
            "address_2": "SUITE 245",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678663",
            "telephone_number": "770-394-8254",
            "fax_number": "770-953-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C MOLKNER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MOLKNER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-394-8254",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "009566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kennestone North Dental Associates
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• Kenneth O Logan, D.C.,P.C.
• Patricia Anne Kennington, PH.D.
• Kennstar LLC
• Kent D Vanderslice DC PC
• Patricia Kerigan, LPC

• Clinical Psychologist in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.