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KATHY FLAKES LPN
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1043767544
Individual Registrant: KATHY FLAKES LPN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
223 N ANDERSON DRIVE SWAINSBORO, GA 30401 US
Tel: 478-289-2522 Fax: --
Tel: 478-289-2522 Fax: --
Contact information for business:
822 COX PLACE ROAD WAYNESBORO, GA 30830 US
Tel: 706-554-6896 Fax: --
Tel: 706-554-6896 Fax: --
Registration Information:
NPI: 1043767544
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | GA | 091585 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
