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Individual

AMANDA LEANNE KENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6422
Mailing address
3411 DURDEN DR NE UNIT 9101, BROOKHAVEN, GA 30319-2237
(404) 718-9882

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN286497
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP286497
GA
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN286497
GA

Other

Enumeration date
02/09/2023
Last updated
11/30/2025
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