NPI 1013303650

Kaynessa Celena Providence, MD

Practitioner Internal Medicine Physician Marietta, GA

Practice location

Address: 54 Tower Rd NE, Marietta, GA 30060-6977
Phone: (770) 427-4682
Fax: (770) 499-8562

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 86204 (GA)

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1013303650
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2015
Record last updated: 18 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.