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Individual

KENESHA STACEY ANN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 316-5820
Mailing address
2614 ZABLAN AVE, BETHLEHEM, GA 30620-7656
(470) 315-3382

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN268359
GA

Other

Enumeration date
08/20/2024
Last updated
08/20/2024
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