Individual
KATHERINE ZOPPOTH KIRSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1810 MULKEY RD STE 201, AUSTELL, GA 30106-1150
(770) 819-9262
(770) 819-0597
Mailing address
4581 S COBB DR SE STE 100, SMYRNA, GA 30080-6906
(770) 801-5000
(770) 435-6690
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
233104
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
RN290707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201914822
—
KY
Enumeration date
09/06/2019
Last updated
10/29/2024
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