Individual
KAITLIN CHRISTINE BEMBENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 367-3014
Mailing address
PO BOX 116116, ATLANTA, GA 30368-6116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10194
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2020
Last updated
02/11/2021
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