Dittmar, Kenzie
Dittmar, Kenzie is an sole proprietor health care provider with primary practice located at 850 Charles Hardy Pkwy , Dallas GA 30157-3163. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dittmar, Kenzie can be contacted via phone (770) 336-8888.Contact Information
Primary practice address
850 Charles Hardy Pkwy
Dallas GA 30157-3163
Phone: (770) 336-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1265228795 |
|---|---|
| LBN Legal business name | Dittmar, Kenzie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2025 |
| Last updated | Jan 29th, 2026 - about 9 months 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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