Individual
KENNY JOURDAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 SCENIC HWY N, SNELLVILLE, GA 30078-5647
(678) 400-6711
Mailing address
1630 SCENIC HWY N, SNELLVILLE, GA 30078-5647
(678) 400-6711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008278
GA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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