Individual
MR. JOSEPH HENRY KANCLERZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C, RNFA
Contact information
Practice address
5742 ALLEE WAY, BRASELTON, GA 30517-6268
(678) 591-8344
Mailing address
PO BOX 7042, CHESTNUT MOUNTAIN, GA 30502-0042
(678) 591-8344
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN177592
GA
363L00000X
Nurse Practitioner
Primary
RN177592
GA
Other
Enumeration date
04/28/2008
Last updated
10/13/2016
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