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Individual

KIRA ELIZABETH WEISSENBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL, SANDY SPRINGS, GA 30328-3473
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004050
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AUD 004050
GEORGIA STATE AUDIOLOGY LICENSE NUMBER
GA
Enumeration date
07/26/2016
Last updated
01/10/2022
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