Individual
KIBRA DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2728 SPIRIT CREEK RD, HEPHZIBAH, GA 30815-5993
(706) 798-8003
(706) 798-8003
Mailing address
2728 SPIRIT CREEK RD, HEPHZIBAH, GA 30815-5993
(706) 798-8003
(706) 798-8003
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
709730
CA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN182066
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN9197155
FL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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