Individual
KELSEY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1741 NEWNAN CROSSING BLVD E STE O-539, NEWNAN, GA 30265-1599
(404) 822-0221
Mailing address
1741 NEWNAN CROSSING BLVD E STE O-539, NEWNAN, GA 30265-1599
(404) 822-0221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN288198
GA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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