KENNETH EUGENE LYDA

ATLANTA, GA
NPI1043215999
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  124797)
Enumeration Date2005-06-16
Last Update Date2011-05-16
Business Address
KENNETH EUGENE LYDA FNP
275 COLLIER RD NW STE 500
ATLANTA, GA 30309-1709
Phone number: 404-605-2800
Mailing Address
KENNETH EUGENE LYDA FNP
275 COLLIER RD NW STE 500
ATLANTA, GA 30309-1709
Phone number: 404-605-2800
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