Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
KIMBERLEY P SHANKS
Active
Individual
KIMBERLEY P SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
057840
GA
207KA0200X
Allergy Physician
057840
GA
2080P0201X
Pediatric Allergy/Immunology Physician
057840
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242084536C
—
GA
01
—
58I030003
MEDICARE
GA
Enumeration date
07/22/2006
Last updated
10/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up