Healthcare Provider Details

I. General information

NPI: 1972035590
Provider Name (Legal Business Name): HANNAH KILDAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2017
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE FL 3
ATLANTA GA
30322-3049
US

IV. Provider business mailing address

1405 CLIFTON RD NE FL 3
ATLANTA GA
30322-1060
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-6670
  • Fax:
Mailing address:
  • Phone: 404-785-6670
  • Fax: 404-251-8680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number207L00000X
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: