Individual
KINGEL N DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Mailing address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003141264G
—
GA
Enumeration date
11/22/2013
Last updated
08/15/2024
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