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Organization
KAIROS LIFE AND WELLNESS LLC
Active
Organization
KAIROS LIFE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY V JOHNSON APRN (OWNER PROVIDER)
(678) 887-9315
Entity
Organization
Contact information
Practice address
2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
(678) 887-9315
Mailing address
2700 BRASELTON HWY STE 10-278, DACULA, GA 30019-3262
(678) 887-9315
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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