Individual
KENLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 WHITE CIR STE 105, MARIETTA, GA 30066-5836
(770) 420-1600
Mailing address
167 MECHELLE LN, MARIETTA, GA 30066-3633
(770) 709-8071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN304875
GA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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