Individual provider · Type 1 NPI

Seibattu Kallon, NP

Acute Care Nurse Practitioner · Marietta, GA

NPI number 1457743304 Active

Practice location

805 Sandy Plains Rd
Marietta, GA 30066-6340

Mailing address

3355 George Busbee Pkwy NW, Apt. 911
Kennesaw, GA 30144-6823

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN244318 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1457743304

Seibattu Kallon, NP's National Provider Identifier is 1457743304, issued on Mar 2, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Marietta, GA. The record was last updated on Mar 2, 2015.