Individual
CHESTER KENNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 SPRINGDALE RD SW, #626, ATLANTA, GA 30315-6100
(678) 353-7640
Mailing address
2141 SPRINGDALE RD SW, #626, ATLANTA, GA 30315-6100
(678) 353-7640
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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