Individual provider · Type 1 NPI
Kanishia Gordon, HAIR REPL SPECIALIST
Prosthetist · Atlanta, GA
Practice location
519 Memorial Dr SE Ste 209
Atlanta, GA 30312-2286
Mailing address
2025 Clearstream Overlook
Stone Mountain, GA 30088-4438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | None listed |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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About NPI 1912545393
Kanishia Gordon, HAIR REPL SPECIALIST's National Provider Identifier is 1912545393, issued on Dec 16, 2019. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 16, 2019.