KENNESAW STATE UNIVERSITY NPI 1518207612

NPI Information

  • NPI: 1518207612
  • Provider Name: KENNESAW STATE UNIVERSITY
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Other Name: KENNEWAW STATE UNIVERSITY STUDENT HEALTH SERVICES
  • Address: 1000 CHASTAIN RD NW
    MD5200 HOUSE 52
    KENNESAW, GA
    ZIP 30144
  • Phone: (770) 423-6644

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NPI Details

KENNESAW STATE UNIVERSITY is a student health clinic center in Kennesaw, GA. KENNESAW STATE UNIVERSITY NPI is 1518207612. The provider is registered as an organization entity type.
The provider Other Name Is Kennewaw State University Student Health Services.

The provider's business location address is:

1000 CHASTAIN RD NW
MD5200 HOUSE 52
KENNESAW, GA
ZIP 30144-588
Phone: (770) 423-6644
Fax: (770) 499-3655

The provider's authorized official is Erin Wolfe .
The authorized official title is Procurement Manager and has the following contact phone number (770) 420-4355.

The enumeration date for this NPI number is 2/26/2013 and was last updated on 4/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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