Kennedy Fayrene Wallace
Kennedy Fayrene Wallace is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
720 Westview Dr SWAtlanta, GA 30310-1458
Phone: (404) 756-1959
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1386539120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2025 |
| Last updated in NPPES | June 11, 2025 |
| Certification date | June 7, 2025 |
Other providers in Atlanta
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Mackenzie Nicole Wall
720 Westview Dr SW, Atlanta, GA 30310-1458 · (404) 752-1500
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Bradley A Wallace, MD
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Jacqueline Wallace
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Dr. Jeffrey Robert Wallace, DDS
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Meaghan Walsh
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Dr. Jessica Walsh O'Sullivan, MD
49 Jesse Hill Jr Dr SE, Atlanta, GA 30303-3049 · (404) 251-8865
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Sophie Walsh
100 Woodruff Cir NE Ste P375, Atlanta, GA 30322-1020 · (404) 727-5655