Kenly King
NPI 1104706449 · Family Nurse Practitioner · Marietta, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenly King is a Family Nurse Practitioner provider in Marietta, GA (NPI 1104706449).
Provider details
- NPI number
- 1104706449
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN304875 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-05
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Frequently asked questions
- What is Kenly King's NPI number?
- Kenly King's National Provider Identifier (NPI) is 1104706449, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenly King's specialty?
- Kenly King is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenly King located?
- Kenly King's practice location on file with NPPES is 1810 White Cir Ste 105, Marietta, GA 30066-5836.
- What is Kenly King's phone number?
- The practice phone number listed in the NPPES registry for Kenly King is (770) 420-1600.
- Does Kenly King accept Medicare?
- Kenly King is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenly King's NPI active?
- Yes — Kenly King's NPI (1104706449) is active in the NPPES registry as of the last update on 2025-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.