SearchGeorgia1223G0001X

Kenleeanne Wilson, DMD

NPI 1760162366 · on the registry since 2023 · sole proprietor

Practice

Address
114 Calumet Center Rd
Lagrange, GA 30241
Phone
(706) 882-1888
Clinicians at this address
4

Additional practice sites

  • 601 E Main St, Hogansville, GA

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia