Individual
WENDY HAWKINS KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
616 19TH ST, COLUMBUS, GA 31901-1528
(706) 494-4262
Mailing address
152 BURNT HICKORY WAY, FORTSON, GA 31808-4468
(706) 494-7075
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
002991
GA
Other
Enumeration date
05/19/2006
Last updated
10/06/2007
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