Provider Demographics
NPI:1225890429
Name:SAYLES, KENYA NAVIN (FNP)
Entity Type:Individual
Prefix:
First Name:KENYA
Middle Name:NAVIN
Last Name:SAYLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KENYA
Other - Middle Name:NICOLE
Other - Last Name:NAVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1320 HUBERT PITTMAN RD
Mailing Address - Street 2:
Mailing Address - City:PENDERGRASS
Mailing Address - State:GA
Mailing Address - Zip Code:30567-2906
Mailing Address - Country:US
Mailing Address - Phone:678-643-0671
Mailing Address - Fax:
Practice Address - Street 1:2129 FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-2600
Practice Address - Country:US
Practice Address - Phone:770-209-2787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN309675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily