Dr. Kenneth P Depersio is a Douglas, Georgia based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Dr. Kenneth P Depersio is 053329 for Orthopedic Surgery in Georgia.
Dr. Kenneth P Depersio is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Kenneth P Depersio speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Gender:
Male
Practice Address:
100 Doctors Dr Ste F, Douglas, Georgia, 31533-2211
Phone:
912-383-6575
Fax:
912-383-6476
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1437125812
NPI Enumeration Date:
27 Feb, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth P Depersio are as mentioned below.
License Number
Specialization
State
Status
053329
Orthopedic Surgery
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kenneth P Depersio such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
341176
Other
Georgia
WELLCARE OF GEORGIA
904817618C
Medicaid
Georgia
904817618D
Medicaid
Georgia
956500
Other
Georgia
BCBS
205778734002
Other
TRICARE
GRP7930
Other
Georgia
MEDICARE GROUP # EFFECTIVE 02/01/2008
P00127268
Other
Georgia
RAILROAD MEDICARE
053329
Other
Georgia
MEDICAL LICENSE
053329
Other
Georgia
GA LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
100 Doctors Dr Ste I, Douglas, Georgia
Zip:
31533-2211
Phone Number:
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Fax Number:
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Patients can reach Dr. Kenneth P Depersio at 100 Doctors Dr Ste F, Douglas, Georgia or can call to book an appointment on 912-383-6575. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.