DR. Kaynessa Celena Providence, M.D.

NPI #1013303650 in Marietta, Georgia

Provider Information

NPI Number: 1013303650
Entity Type: Individual
Name: DR. Kaynessa Celena Providence, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 10, 2015
Last Updated: Aug 18, 2022

Practice Location

Address: 54 TOWER RD NE
City: Marietta
State: Georgia
ZIP Code: 30060-6977
Phone: (770) 427-4682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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