Individual
KATHERINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DUNEDIN CT, MACON, GA 31210-5393
(478) 747-7403
Mailing address
5 DUNEDIN CT, MACON, GA 31210-5393
(478) 747-7403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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