Individual
KELLY ALEXANDRA QATSHA
Active
Individual
KELLY ALEXANDRA QATSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062596
GA
207R00000X
Internal Medicine Physician
D0061313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404466500
—
MD
01
—
KF68 / 639571-01
BC / BS OF MD
MD
01
—
S189 / 0031
BLUECHOICE
MD
Enumeration date
05/23/2006
Last updated
01/07/2022
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