Individual
MS. MARY ANN KYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3005 LENORA CHURCH RD, BLDG. A, SNELLVILLE, GA 30078-3688
(770) 979-9157
(770) 979-7767
Mailing address
1148 HIRAM DAVIS RD, LAWRENCEVILLE, GA 30045-6600
(770) 963-2562
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN032522
GA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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