NPI 1205504016

Kendra R Thomas, HAIRLOSSSPECIALIST

Practitioner Prosthetics Case Management Marietta, GA

Practice location

Address: 2396 Battle Forest Dr SW, Marietta, GA 30064-2629
Phone: (720) 472-1452

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence CO139925 (GA)

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Registry record

NPI: 1205504016
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2021
Record last updated: 6 Sep 2021

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.