Individual
KELLY A HOUMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Mailing address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0254
NV
Other
Enumeration date
02/20/2012
Last updated
07/21/2022
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