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Individual
KAWANA WIRES
Active
Individual
KAWANA WIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN217921
GA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN217921
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN217921
GA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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