Individual
KELLEN VANHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COA
Contact information
Practice address
1100 JOHNSON FY RD NE STE 593, SANDY SPRINGS, GA 30342-1733
(404) 255-9096
Mailing address
3591 HAWFINCH CT NE, ROSWELL, GA 30075-2650
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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