Individual
MS. KENYA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4714 LIONSHEAD CIR, LITHONIA, GA 30038-2279
(404) 452-7176
(855) 953-1013
Mailing address
4714 LIONSHEAD CIR, LITHONIA, GA 30038-2279
(404) 452-7176
(855) 953-1013
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN323479
GA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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