Individual
KENDRA MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2709 TREE MOUNTAIN PKWY, STONE MOUNTAIN, GA 30083-6774
(678) 278-9353
Mailing address
2709 TREE MOUNTAIN PKWY, STONE MOUNTAIN, GA 30083-6774
(678) 278-9353
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
GA
164W00000X
Licensed Practical Nurse
Primary
LPN055107
GA
174H00000X
Health Educator
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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