Gordon, Kanishia

Gordon, Kanishia is an sole proprietor health care provider with primary practice located at 519 Memorial Dr Se Ste 209 , Atlanta GA 30312-2286. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as her primary health care specialty. Gordon, Kanishia can be contacted via phone (404) 836-3845.

Contact Information

Primary practice address
519 Memorial Dr Se Ste 209 Atlanta GA 30312-2286
Phone: (404) 836-3845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X Georgia

Profile Details

NPI number 1912545393
LBN Legal business name Gordon, Kanishia
Credentials HAIR REPL SPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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