Individual
KALATO LEHUE HOLTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
175 CARNEGIE PL STE 113, FAYETTEVILLE, GA 30214-7903
(770) 376-6160
Mailing address
175 CARNEGIE PL STE 113, FAYETTEVILLE, GA 30214-7903
(770) 376-6160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
826153
NV
363L00000X
Nurse Practitioner
Primary
RN151100
GA
363LF0000X
Family Nurse Practitioner
RN151100
GA
Other
Enumeration date
03/28/2016
Last updated
09/16/2024
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