Individual
KATHLEEN POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1805 DOGWOOD DR NW LOT 6, KENNESAW, GA 30144-1996
(770) 547-2107
Mailing address
1805 DOGWOOD DR NW LOT 6, KENNESAW, GA 30144-1996
(770) 547-2107
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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