Individual
MRS. STAR SMITH KEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1984 PEACHTREE RD NW, ATLANTA, GA 30309-5219
(404) 351-1745
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN160538
GA
Other
Enumeration date
10/30/2008
Last updated
06/08/2020
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