Provider Demographics
NPI:1710879713
Name:SALDANA, KENNETH XAVIER
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:XAVIER
Last Name:SALDANA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5547 SILVER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-7950
Mailing Address - Country:US
Mailing Address - Phone:678-702-6652
Mailing Address - Fax:
Practice Address - Street 1:3300 HAMILTON MILL RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4080
Practice Address - Country:US
Practice Address - Phone:678-702-6652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant