Doctor Name: | STACI N KENNER |
NPI Number: | 1104088061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | BPI0030889 |
Business Practice Address: | 95b-a, J.f. Harris Pkwy Suite 102 Cartersville, GA - 301202158 |
Business Phone Number: | 7703864824 |
Business Fax Number: | 7703864220 |
Mailing Address: | 95b-a, J.f. Harris Pkwy, Suite 102 CARTERSVILLE |
State: | GA |
Postal Code: | 301202158 |
Phone Number: | 7703864824 |
Fax Number: | 7703864220 |
NPI Enumeration Date: | 07/01/2008 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | BPI0030889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |