Kaney Jervelle Fedovskiy in Atlanta - Psychiatry

Kaney Jervelle Fedovskiy - NPI 1114091469

Kaney Jervelle Fedovskiy is a Psychiatry in Atlanta, Georgia. Kaney Jervelle Fedovskiy practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kaney Jervelle Fedovskiy is 1114091469. The last update date is 2007-07-08.

Kaney Jervelle Fedovskiy's current location address is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can contact this provider via phone number 4046166689 and fax number 4046160207. The mailing address for Kaney Jervelle Fedovskiy is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kaney Jervelle Fedovskiy
Address 80 Jesse Hill Jr Dr Se, Atlanta, Georgia
Phone Number 4046166689
Fax Number 4046160207
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1114091469
Provider Enumeration Date 2006-11-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 80 Jesse Hill Jr Dr Se
City Atlanta
State Georgia (GA)
Post Code 303033031
Phone Number 4046166689
Fax Number 4046160207

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 54710
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

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FAQs about Kaney Jervelle Fedovskiy

What is the unique 10-digit identification code issued to Kaney Jervelle Fedovskiy by the Centers for Medicare & Medicaid Services?

The Kaney Jervelle Fedovskiy has been assigned the NPI (National Provider Identifier) 1114091469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kaney Jervelle Fedovskiy is physically located?

The Kaney Jervelle Fedovskiy is physically situated at the following address: 80 Jesse Hill Jr Dr Se, Atlanta, GA, 303033031.

What is Kaney Jervelle Fedovskiy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kaney Jervelle Fedovskiy is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.

On what date did the Kaney Jervelle Fedovskiy receive the assignment of its 1114091469 from the Centers for Medicare & Medicaid Services?

The Kaney Jervelle Fedovskiy was issued its 1114091469 by the Centers for Medicare & Medicaid Services on 2006-11-20.

When was the Kaney Jervelle Fedovskiy's information last updated?

The Kaney Jervelle Fedovskiy's information was last updated on 2007-07-08.

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