Individual
MR. KENNY REY PADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3121 MAPLE DR NE STE 107, ATLANTA, GA 30305-2519
(404) 909-3202
Mailing address
3121 MAPLE DR NE STE 107, ATLANTA, GA 30305-2519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0033122
OH
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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