Individual
MR. KEVIN P FELTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
8737 DUNWOODY PLACE, SUITE 4, ATLANTA, GA 30350
(678) 566-2780
(678) 566-2785
Mailing address
PO BOX 422444, ATLANTA, GA 30291
(678) 566-2780
(678) 566-2785
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2356
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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