| Kichcare LLC | |
|
644 Blackwater Rdg Canton GA 30114-1225 | |
| (404) 519-2979 | |
| Not Available |
| Full Name | Kichcare LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 644 Blackwater Rdg, Canton, Georgia |
| Authorized Official Name and Position | Esther Gichangi (REGISTERED NURSE) |
| Authorized Official Contact | 4045192979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kichcare LLC 644 Blackwater Rdg Canton GA 30114-1225 Ph: (404) 519-2979 | Kichcare LLC 644 Blackwater Rdg Canton GA 30114-1225 Ph: (404) 519-2979 |
| NPI Number | 1881483949 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881483949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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