Individual
KENESIA ALDENE GENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2075 GRAYSON HWY, GRAYSON, GA 30017-1242
(404) 948-3019
Mailing address
4475 W VILLAGE PKWY, ELLENWOOD, GA 30294-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN216736
GA
363L00000X
Nurse Practitioner
Primary
RN216736
GA
Other
Enumeration date
02/14/2019
Last updated
09/22/2023
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