KENYATTA MIREKU, MD
Dermatology
Active
Individual
NPI: 1740600048
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dermatology | 207N00000X | Yes | 080834 (GA) |
Frequently Asked Questions
NPI 1740600048 is the National Provider Identifier for KENYATTA MIREKU, MD, a Dermatology provider located in Lawrenceville, GA. This NPI was enumerated on April 24, 2014.
KENYATTA MIREKU, MD practices at 771 OLD NORCROSS RD STE 260, Lawrenceville, GA 30046.
Quick Facts
- NPI
- 1740600048
- Type
- Individual
- Enumerated
- Apr 24, 2014
- Last Updated
- Oct 2, 2018
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