Individual provider · Type 1 NPI

Kevin Paul Sanu, MD

Student in an Organized Health Care Education/Training Program · Dalton, GA

NPI number 1710675715 Active

Practice location

1432 Broadrick Drive
Dalton, GA 30720

Call (706) 226-8990 Map

Fax (706) 529-5317

Mailing address

1200 Memorial Drive
Dalton, GA 30720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X15058 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710675715

Kevin Paul Sanu, MD's National Provider Identifier is 1710675715, issued on Apr 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dalton, GA. The record was last updated on Oct 9, 2024.