Kelly Kencade-Pichon

Individual provider Registered Respiratory Therapist · NPI 1760180988

Kelly Kencade-Pichon is an Anesthesiology Assistant in Snellville, Georgia. Qualified in 2023, 3 years ago. Practices with Premier Anesthesia of Georgia LLC, a 62-clinician group. Licensed in Georgia.

Years since qualifying: 3
Licensed in: GA
In the registry since: 2023
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.

Specialties & licences

Anesthesiologist Assistant (primary)	Taxonomy 367H00000X
Registered Respiratory Therapist	Taxonomy 227900000X · Licence 6771 (GA)

Record details

NPI number	1760180988
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	February 16, 2023
Last updated in NPPES	November 8, 2023
Certification date	November 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	ANESTHESIOLOGY ASSISTANT
Medical school	OTHER
Graduated	2023 (3 years in practice)
Group practice	Premier Anesthesia Of Georgia Llc — 62 clinicians
Accepts Medicare assignment	Not indicated