Individual
JENNA KLENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 644-1274
(470) 644-1119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13453
GA
363A00000X
Physician Assistant
Primary
13453
GA
367H00000X
Anesthesiologist Assistant
13453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003340042N
—
GA
Enumeration date
10/27/2025
Last updated
08/07/2026
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