Organization
KENNESAW STATE UNIVERSITY
Active
Other names
Kennewaw State University Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN WOLFE (PROCUREMENT MANAGER)
(770) 420-4355
Entity
Organization
Contact information
Practice address
1000 CHASTAIN RD NW, MD5200 HOUSE 52, KENNESAW, GA 30144-5588
(770) 423-6644
(770) 499-3655
Mailing address
1000 CHASTAIN RD NW, MD5200 HOUSE 52, KENNESAW, GA 30144-5588
(770) 423-6644
(770) 499-3655
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
04/02/2013
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