Individual
RACHEL KIENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
Mailing address
5354 REYNOLDS ST STE 424, SAVANNAH, GA 31405-6011
(912) 819-5999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN218774
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179547A
—
GA
Enumeration date
04/15/2019
Last updated
04/15/2019
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