NPI 1063056760

Kelly W Gladden, RRTRPSGTCCSHRST

Practitioner Other Specialist/Technologist Marietta, GA

Practice location

Address: 2540 Windy Hill Rd SE, Marietta, GA 30067-8605
Phone: (678) 849-6943
Mailing address: 575 Cricklewood Dr, Suwanee, GA 30024-8544

Registered specialties

Other Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Z00000X Licence 305

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1063056760
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2019
Record last updated: 5 Nov 2019

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.