Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 38670 | KY |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 72798 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 072798 | GA |
NPI | 1689723280 |
---|---|
Provider Name | Kelly C Mccants |
First Address | Alpharetta, GA 30009-1975 |
Second Address | Louisville, KY 40217-1376 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 07/08/2020 |