NPI
Kenneth D Pilgrim
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DMD
- Type
- Individual
- Enumeration date
- 2006-10-02
- Last updated
- 2007-07-08
Specialties
Licenses
- License GA
- 9189
Location
- Practice location
- 4787 Happy Valley Road
- City
- Flintstone GA
- Postal code
- 30725
- Phone
- (706) 820-0413
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Flintstone, GA. 17 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.