Individual
KATHLEEN ANN HALVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR STE 170, CUMMING, GA 30041-7668
(770) 292-4806
(770) 292-4808
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 110, ATLANTA, GA 30342-5000
(678) 843-5801
(678) 843-7746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
RN189107
GA
363L00000X
Nurse Practitioner
Primary
RN189107
GA
363LA2200X
Adult Health Nurse Practitioner
209003126
IL
Other
Enumeration date
06/25/2006
Last updated
03/07/2018
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