Individual provider · NPI-1
Kelvin B Cox
Community Health Worker · Lithonia, GA
NPI number1972374312
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1972374312
- Entity type
- Individual (NPI-1)
- Name
- Kelvin B Cox
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2024
- Certification date
- Jan 14, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
7610 Summer Berry LnLithonia, GA 30038-7159
Phone 404-805-5662
Mailing address
7610 Summer Berry LnLithonia, GA 30038-7159
Phone 404-805-5662
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