Provider Demographics
NPI:1982843744
Name:KAGHA, ESTHER C I (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:C
Last Name:KAGHA
Suffix:I
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2721 WINSLEY DR SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-5715
Mailing Address - Country:US
Mailing Address - Phone:770-424-3735
Mailing Address - Fax:770-424-3735
Practice Address - Street 1:800 N. GLYNN ST.
Practice Address - Street 2:BILL E IRELAND YDC
Practice Address - City:MILLEDGVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061
Practice Address - Country:US
Practice Address - Phone:478-445-5580
Practice Address - Fax:478-445-3213
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN115671 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily