KEN IBETO
NPI 1053807347
Clinical Nurse Specialist - Home Health in Lithia Springs, GA

Q: What is Ken Ibeto's NPI number?

The NPI number for Ken Ibeto is 1053807347. It was assigned to this individual provider in the NPPES registry on July 10, 2018. The provider is also known as Kenechukwu Ikechukwu Ibeto.

Q: What is Ken Ibeto's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

Q: When was this NPI record last updated?

The NPPES record for Ken Ibeto was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2018

7646 FOREST GLEN WAY, LITHIA SPRINGS, GA 30122(678) 637-6249(404) 393-4950 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ken Ibeto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN IBETO (NPI 1053807347) is an individual home health provider in Lithia Springs, Georgia, licensed in Georgia (048-R-2014) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1053807347

Entity TypeIndividualMale

Primary Taxonomy364SH0200X

Provider Legal NameKEN IBETO

Location Address7646 FOREST GLEN WAYLithia Springs, GA 30122-6867

Mailing Address7646 Forest Glen WayLithia Springs, GA 30122-6867 · (678) 637-6249 · Fax (404) 393-4950

Phone(678) 637-6249

Fax(404) 393-4950

Sole ProprietorNo

Enumeration DateJuly 10, 2018

✔ NPI 1053807347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Home HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SH0200X

License✔ Licensed in GA · 048-R-2014

7646 FOREST GLEN WAY, Lithia Springs, GA 30122

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Other Names 1

Professional Name (2)Kenechukwu Ikechukwu Ibeto

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Ibeto's NPI number?

The NPI number for Ken Ibeto is 1053807347. It was assigned to this individual provider in the NPPES registry on July 10, 2018. The provider is also known as Kenechukwu Ikechukwu Ibeto.

Where is Ken Ibeto located?

Ken Ibeto practices at 7646 Forest Glen Way, Lithia Springs, GA 30122. The listed phone number is (678) 637-6249.

What is Ken Ibeto's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Home Health, with taxonomy code 364SH0200X.

When was this NPI record last updated?

The NPPES record for Ken Ibeto was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.