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DR KENNEITH DURDEN OUTREACH
NPI 1699120410
Counselor - Professional in Port Wentworth, GA

Active since April 29, 2016
41 MOONLIGHT TRL, PORT WENTWORTH, GA 31407(404) 909-2442 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr Kenneith Durden Outreach NPPES

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

DR KENNEITH DURDEN OUTREACH (NPI 1699120410) is a healthcare organization registered as a professional in Port Wentworth, Georgia and active in the NPI registry since April 2016. The organization lists Kenneith Durden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699120410
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameDR KENNEITH DURDEN OUTREACH
Location Address41 MOONLIGHT TRLPort Wentworth, GA 31407-3321
Mailing Address41 Moonlight TrlPort Wentworth, GA 31407-3321 · (404) 909-2442
Phone(404) 909-2442
Organization SubpartNo
Authorized OfficialKenneith DurdenCeo · (404) 909-2442
Enumeration DateApril 29, 2016
✔ NPI 1699120410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
41 MOONLIGHT TRL, Port Wentworth, GA 31407
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Other Identifiers 1

Medicaid803411511BGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Dr Kenneith Durden Outreach's NPI number?

The NPI number for Dr Kenneith Durden Outreach is 1699120410. It was assigned to this organization in the NPPES registry on April 29, 2016.

Where is Dr Kenneith Durden Outreach located?

Dr Kenneith Durden Outreach is located at 41 Moonlight Trl, Port Wentworth, GA 31407. The listed phone number is (404) 909-2442.

What is Dr Kenneith Durden Outreach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Dr Kenneith Durden Outreach was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.