Individual
KATHLEEN LAFEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 AUSTIN DR, DEMOREST, GA 30535-4508
(706) 839-4092
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363LF0000X
Family Nurse Practitioner
Primary
RN245764
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2024
Last updated
07/10/2025
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