Dr. Kendall Denise Jefferson
M.D. | Pediatrics | Female
Dr. Kendall Denise Jefferson, M.D. is a Kennesaw, Georgia based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Kendall Denise Jefferson is also known as
Kendall Denise Agochukwu.
Current practice location of Dr. Kendall Denise Jefferson is
750 Townpark Ln Nw, Kennesaw, Georgia - 30144-5824. She can be contacted on phone at
404-365-0966.
Dr. Kendall Denise Jefferson is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kendall Denise Jefferson is
1861717464 which was assigned by NPPES on 07 Apr, 2010 and it was last updated on 08 Mar, 2022.
Dr. Kendall Denise Jefferson license number is
77694 for Pediatrics (208000000X) in Georgia.
Dr. Kendall Denise Jefferson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kendall Denise Jefferson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Kendall Denise Jefferson |
|---|
| Other Name : | Kendall Denise Agochukwu |
|---|
| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kendall Denise Jefferson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 750 Townpark Ln Nw
Kennesaw, GA, 30144-5824
United States |
|---|
| Phone Number : | 404-365-0966 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861717464 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2010 |
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| Last Updated On : | 08 Mar, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kendall Denise Jefferson are as mentioned. Primary taxonomy code for Dr. Kendall Denise Jefferson, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2013-01164 | NC |
| 208000000X | Pediatrics | Yes | 77694 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kendall Denise Jefferson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 77694 | Other | GA | LICENSE |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Carequality | No affiliation | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 750 TOWNPARK LN NW,
KENNESAW, GA, 30144-5824
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 750 Townpark Ln Nw Ste 113
Kennesaw, GA, 30144-5824
United States |
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| Phone Number : | 404-365-0966 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kendall Denise Jefferson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.