Kenway, Paige B.

Kenway, Paige B. is an individual health care provider with primary practice located at 132 Old Norton Rd Ste 200 , Fayetteville GA 30215-4873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kenway, Paige B. can be contacted via phone (678) 817-1117.

Contact Information

Primary practice address
132 Old Norton Rd Ste 200 Fayetteville GA 30215-4873
Phone: (678) 817-1117
Fax: (678) 817-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN222344 Georgia

Profile Details

NPI number 1720548704
LBN Legal business name Kenway, Paige B.
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Aug 24th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720548704 NPPES
Georgia MEDICAID 003217336A
Georgia Other G11383A

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