Individual
KIM RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3321 N VALDOSTA RD, B, VALDOSTA, GA 31602-1459
(229) 242-9310
(229) 242-9714
Mailing address
3321 N VALDOSTA RD, B, VALDOSTA, GA 31602-1459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN115567
GA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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