Individual
KATELYN KENISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5270 GREEN HILL PL, ATLANTA, GA 30342-2038
(570) 801-0813
Mailing address
5270 GREEN HILL PL, ATLANTA, GA 30342-2038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN321637
GA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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