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1831244417
KELLY ANNE KALLIS
FAYETTEVILLE, GA
NPI
1831244417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 119187)
Enumeration Date
2007-01-24
Last Update Date
2011-02-17
Business Address
-- KELLY ANNE KALLIS CFNP
101 YORKTOWN DR
FAYETTEVILLE, GA 30214-1568
Phone number: 770-460-4285
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Mailing Address
-- KELLY ANNE KALLIS CFNP
PO BOX 102321
ATLANTA, GA 30368-2321
Phone number:
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