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Dr. Kevin Shrake, MD
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1922858067

Kevin Shrake is a Student in an Organized Health Care Education/Training Program based in Lawrenceville, GA. Kevin Shrake practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Kevin Shrake is 1922858067 and holds a License No. (Georgia).

The current practice location address for Kevin Shrake is 665 Duluth Hwy Ste 401, Lawrenceville, GA and can be reached out via phone at 770-598-8791.

Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922858067
Provider Name
Kevin Shrake
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
665 Duluth Hwy Ste 401, Lawrenceville, GA, 30046-1190
Phone Number
770-598-8791
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
770-598-8791
Fax Number
person
Provider Business Mailing Address Details
Address
665 Duluth Hwy Ste 401
City
Lawrenceville
State
Georgia
Zip
30046-4303
Phone Number
770-598-8791
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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