Individual provider · Type 1 NPI

Callie Kennedy

Anesthesiologist Assistant · Fayetteville, GA

NPI number 1023412640 Active

Practice location

1255 Highway 54 W
Fayetteville, GA 30214-4526

Mailing address

1968 Peachtree Rd NW
Atlanta, GA 30309-1281

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X6385 (GA)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1023412640

Callie Kennedy's National Provider Identifier is 1023412640, issued on Oct 9, 2014. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 9, 2014.