Individual
KELLI AKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 W GRADY ST, STATESBORO, GA 30458-2742
(912) 764-6188
(912) 489-8937
Mailing address
PO BOX 1409, STATESBORO, GA 30459-1409
(912) 764-6188
(912) 489-8937
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
016-02
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000263227A
—
GA
Enumeration date
09/19/2014
Last updated
09/19/2014
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