Individual
KAITLIN SKATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 BROMBLEY DR SE, CONYERS, GA 30013-6484
(678) 595-9462
Mailing address
3116 BROMBLEY DR SE, CONYERS, GA 30013-6484
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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