MRS. LISA KIRKPATRICK KETTERING APC NPI 1285117416

NPI Information

NPI: 1285117416
Provider Name: MRS. LISA KIRKPATRICK KETTERING, APC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6548 HIGHWAY 92 STE 100
ACWORTH, GA
ZIP 30102
Phone: (678) 770-1280
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MRS. Lisa Kirkpatrick Kettering, APC is a mental health counselor in Acworth, GA. MRS. Lisa Kirkpatrick Kettering, APC NPI is 1285117416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6548 HIGHWAY 92 STE 100
ACWORTH, GA
ZIP 30102-572
Phone: (678) 770-1280

The enumeration date for this NPI number is 9/13/2018 and was last updated on 11/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	APC007035	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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