Individual
DR. KATHLEEN ANN CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, APRN-NP
Contact information
Practice address
477 WINDSOR ST SW, ATLANTA, GA 30312-2530
(404) 688-9202
(404) 688-9202
Mailing address
477 WINDSOR ST SW, ATLANTA, GA 30312-2530
(404) 688-9202
(404) 688-9202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN033849
GA
Other
Enumeration date
01/09/2019
Last updated
02/07/2019
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