Individual
KELLY BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
30 LAUREL CANYON VILLAGE CIR APT 3401, CANTON, GA 30114-4575
(678) 382-5090
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN266859
GA
363LN0000X
Neonatal Nurse Practitioner
Primary
RN266859
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2022
Last updated
12/30/2022
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