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

Dr. Kendall Denise Jefferson, MD

Individual provider Pediatrics Physician · NPI 1861717464

Dr. Kendall Denise Jefferson, MD is a Pediatrics Physician in Kennesaw, Georgia. Licensed in Georgia and North Carolina. Registered with an NPI since 2010.

Licensed in
GA, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

750 Townpark Ln NW
Kennesaw, GA 30144-5824
Phone: (404) 365-0966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 77694 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 2013-01164 (NC)

Record details

NPI number1861717464
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2010
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022

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