Individual
KATHLEEN ANN KEIRN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
1820 BRAGG ST, ATLANTA, GA 30341-4812
(804) 441-4802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
05/24/2022
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