KENNETH ANDREW CONRAD M.D. NPI 1699762997

NPI Information

  • NPI: 1699762997
  • Provider Name: KENNETH ANDREW CONRAD, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 881 USS JAMES MADISON RD
    NAVAL BRANCH HEALTH CLINIC
    KINGS BAY, GA
    ZIP 31547
  • Phone: (912) 573-8801

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NPI Details

Kenneth Andrew Conrad, M.D. is a family medicine in Kings Bay, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth Andrew Conrad, M.D. NPI is 1699762997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

881 USS JAMES MADISON RD
NAVAL BRANCH HEALTH CLINIC
KINGS BAY, GA
ZIP 31547-531
Phone: (912) 573-8801

The NPI 1699762997 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2005 and was last updated on 3/18/2010.

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
1207Q00000XFamily Medicine01029429AINDIANANo
2207Q00000XFamily MedicineME 72302FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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