Individual
ALICE KIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4575 WELSHFIELD CT NW, KENNESAW, GA 30152-7751
(404) 512-9425
Mailing address
2090 BAKER RD NW STE 304147, KENNESAW, GA 30144-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
033-R-1691
GA
164W00000X
Licensed Practical Nurse
033-R-1691
GA
372600000X
Adult Companion
033-R-1691
GA
374U00000X
Home Health Aide
033-R-1691
GA
376J00000X
Homemaker
033-R-1691
GA
376K00000X
Nurse's Aide
Primary
033-R-1691
GA
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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