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KENDRA B. KEITH NP

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922321975

Individual Registrant:
 KENDRA B. KEITH NP
Gender: F
Sole Proprietor

Location and contact information for practice:
3257 CHATTANOOGA VALLEY RD  FLINTSTONE, GA 30725 US
Tel: 706-841-7700  Fax: 706-841-7800

Contact information for business:
299 JOHN THOMPSON RD  FLINTSTONE, GA 30725-2406 US
Tel: 615-655-3938  Fax: 706-935-3900

Registration Information:
NPI: 1922321975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA271464

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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