Provider Demographics
NPI:1083766315
Name:STARNES, KELLEY WAGES (CNM)
Entity Type:Individual
Prefix:
First Name:KELLEY
Middle Name:WAGES
Last Name:STARNES
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-252-6794
Practice Address - Street 1:3650 STEVE REYNOLDS BLVD
Practice Address - Street 2:KAISER PERMANENTE GWINNETT MEDICAL CENTER
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4506
Practice Address - Country:US
Practice Address - Phone:770-931-6110
Practice Address - Fax:404-252-6794
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2022-01-07
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Provider Licenses
StateLicense IDTaxonomies
GARN147515207V00000X
GARN147515CNM176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology