Individual
KELSEY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1526 PARK CREEK CV NE, BROOKHAVEN, GA 30319-2146
(512) 963-4166
Mailing address
1526 PARK CREEK CV NE, BROOKHAVEN, GA 30319-2146
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN270108
GA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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