Individual
KANESHA RAQUEL MCDOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5437
Mailing address
1619 MARSANNE TER NW, KENNESAW, GA 30152-6768
(229) 894-6880
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN252289
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN252289
GA
Other
Enumeration date
12/23/2022
Last updated
12/31/2022
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