Individual
KELLY KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
531 ASBURY CIR, SUITE N340, ATLANTA, GA 30322-1006
(404) 778-5975
(404) 778-2630
Mailing address
2152 HAVENWOOD TRL NE, BROOKHAVEN, GA 30319-4018
(770) 851-1419
(404) 686-4661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN198383
GA
Other
Enumeration date
05/06/2015
Last updated
05/18/2015
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