P Praxis·MD
● Active Type 1 · Individual

Kathleen Poore

Specialist/Technologist, Other·Kennesaw, GA· NPI 1215764840 · Enumerated 2024 · 1 years on NPI
Poore is 1 of 2 specialist/technologist, other providers in Kennesaw and 1 of 81 in Georgia.
NPI age
1 years
Enumerated 2024-09-17
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 81 active specialist/technologist, other providers in Georgia.

NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
1805 Dogwood Dr Nw Lot 6
Kennesaw, GA 301441996
📞 7705472107
Mailing address
1805 Dogwood Dr Nw Lot 6
Kennesaw, GA 301441996
📞 7705472107

Specialties

  • Specialist/Technologist, Other Primary
    General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
    taxonomy 246Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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