Seagraves, Kendra

Seagraves, Kendra is an individual health care provider with primary practice located at 10055 Ford Avenue 3A, Richmond Hill GA 31324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Seagraves, Kendra can be contacted via phone (912) 819-9601.

Contact Information

Primary practice address
10055 Ford Avenue 3A Richmond Hill GA 31324
Phone: (912) 819-9601
Fax: (912) 819-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN176789 Georgia

Profile Details

NPI number 1962800771
LBN Legal business name Seagraves, Kendra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2014
Last updated Dec 8th, 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 1962800771 NPPES
Georgia MEDICAID 003158883D

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