Individual
ASHLEY KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2727 PACES FERRY RD SE, SUITE 1-1100, ATLANTA, GA 30339-4053
(404) 605-4602
Mailing address
1575 RIDENOUR PKWY NW, APT 2306, KENNESAW, GA 30152-4714
(678) 358-3347
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN209909
GA
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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