| Cara Ashley Kenney, | |
|
3411 Durden Dr Ne Unit 6208, Brookhaven, GA 30319-2231 | |
| (678) 634-6836 | |
| Not Available |
| Full Name | Cara Ashley Kenney |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3411 Durden Dr Ne Unit 6208, Brookhaven, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295518124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | The Bortolazzo Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Cara Ashley Kenney, 3411 Durden Dr Ne Unit 6208, Brookhaven, GA 30319-2231 Ph: Not Available | Cara Ashley Kenney, 3411 Durden Dr Ne Unit 6208, Brookhaven, GA 30319-2231 Ph: (678) 634-6836 |
Kevin A Kissoon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1377 Dresden Dr Ne, Brookhaven, GA 30319 Phone: 407-620-2007 |
Jin Joo Bang, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3369 Buford Hwy Ne Ste 820, Brookhaven, GA 30329 Phone: 470-531-1870 |
Palvi Walia, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4400 Peachtree Rd Ne, Brookhaven, GA 30319 Phone: 404-814-9199 |
Anna Kathryn Stewart, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 Brookhaven Vw Ne, Brookhaven, GA 30319 Phone: 404-326-8920 |
Amari Oliver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Peachtree Rd Ne, Brookhaven, GA 30319 Phone: 404-814-9199 |
Bridget Richer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3662 Ashford Creek Vw Ne, Brookhaven, GA 30319 Phone: 914-588-8506 |
Rebecca Bozeman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1006 Brookhaven Way Ne, Brookhaven, GA 30319 Phone: 850-530-9211 |