NPI 1861746745

Kenennesha Latasha Mitchell, EMTI

Practitioner Intermediate Emergency Medical Technician Augusta, GA

Practice location

Address: 2467 Golden Camp Rd, Augusta, GA 30906-5515
Phone: (706) 790-4440
Fax: (706) 790-4393

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 29545 (GA)

Other Emergency Medical Technician, Intermediate providers in Georgia →

Registry record

NPI: 1861746745
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2012
Record last updated: 31 Oct 2012

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.