NPI 1023412640

Callie Kennedy

Practitioner Anesthesiologist Assistant Fayetteville, GA

Practice location

Address: 1255 Highway 54 W, Fayetteville, GA 30214-4526
Phone: (770) 719-7000
Mailing address: 1968 Peachtree Rd NW, Atlanta, GA 30309-1281

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 6385 (GA)

Other Anesthesiologist Assistant providers in Georgia →

Registry record

NPI: 1023412640
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2014
Record last updated: 9 Oct 2014

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.