KISA HUENINK

AUSTELL, GA
NPI1386200772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  211443)
Enumeration Date2019-05-13
Last Update Date2019-12-20
Business Address
KISA HUENINK FNP-C
1790 MULKEY RD STE 8A
AUSTELL, GA 30106-1122
Phone number: 770-944-1830
Mailing Address
KISA HUENINK FNP-C
1790 MULKEY RD STE 8A
AUSTELL, GA 30106-1122
Phone number: 770-944-1830
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