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KENESIA GENAS FNP-C

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

Registrant NPI Number: 1134685118

Individual Registrant:
 KENESIA  GENAS FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4475 W VILLAGE PKWY  ELLENWOOD, GA 30294-2869 US
Tel: 770-507-7950  Fax: --

Contact information for business:
4475 W VILLAGE PKWY  ELLENWOOD, GA 30294-2869 US
Tel: --  Fax: --

Registration Information:
NPI: 1134685118
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN216736

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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