KENNY R SINERVO MD NPI 1013385467

NPI Information

  • NPI: 1013385467
  • Provider Name: KENNY R SINERVO MD
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Organization
  • Doing Business As: CENTER FOR ENDOMETRIOSIS CARE
  • Address: 1140 HAMMOND DR
    BLDG F S-6220
    ATLANTA, GA
    ZIP 30328
  • Phone: (770) 913-0001

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NPI Details

KENNY R SINERVO MD is an urogynecology and reconstructive pelvic surgery in Atlanta, GA. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. KENNY R SINERVO MD NPI is 1013385467. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Center For Endometriosis Care.

The provider's business location address is:

1140 HAMMOND DR
BLDG F S-6220
ATLANTA, GA
ZIP 30328-338
Phone: (770) 913-0001
Fax: (770) 913-0005

The provider's authorized official is Kenny R Sinervo .
The authorized official title is Medical Director and has the following contact phone number (770) 913-0001.

The enumeration date for this NPI number is 9/2/2015 and was last updated on 9/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery1526905GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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