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NPI Code Detail

MEDICARE: KAITLIN HEBERT

MEDICARE: KAITLIN HEBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist Assistant

General Provider Information

NPI Number : 1740743046
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN HEBERT
Provider Business Mailing Address
First Line : 3464 ROXBORO RD NE UNIT 709
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3383
Country : US
Telephone Number : 954-494-4238
Fax Number :
Provider Business Practice Location Address
First Line : 5671 PEACHTREE DUNWOODY RD STE 610
Second Line :
City : ATLANTA
State : GA
Zip : 30342-5013
Country : US
Telephone Number : 44-257-8601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2019
Last Update Date : 12/04/2025

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Directions to “ KAITLIN HEBERT ” Practice Location

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