Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea M Kennedy

Individual provider Surgical Assistant · NPI 1083120588

Andrea M Kennedy is a Surgical Assistant in Snellville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1700 Medical Way
Snellville, GA 30078-2195
Phone: (770) 979-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-1000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 175866 (GA)
Surgical Assistant Taxonomy 246ZC0007X (GA)

Record details

NPI number1083120588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2017
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

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