Provider Demographics
NPI:1508021767
Name:ZEH, KELLY J (RN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:J
Last Name:ZEH
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 S COBB DR SE STE 220
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6301
Mailing Address - Country:US
Mailing Address - Phone:770-363-8770
Mailing Address - Fax:404-436-8042
Practice Address - Street 1:3903 S COBB DR SE STE 220
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6301
Practice Address - Country:US
Practice Address - Phone:770-363-8770
Practice Address - Fax:404-436-8042
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-26
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN124030163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant