Individual
KAYLIN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA,CST
Contact information
Practice address
850 WINDY HILL RD SE, 2552, SMYRNA, GA 30081-3109
(678) 315-8501
Mailing address
PO BOX 2552, SMYRNA, GA 30081-2552
(678) 315-8501
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
12/01/2016
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