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Individual

KENNEDY S KIMBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
135 LAURENS OAK CT, ALPHARETTA, GA 30022-5855
(404) 282-0734
Mailing address
135 LAURENS OAK CT, ALPHARETTA, GA 30022-5855
(770) 373-0936

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09028
LA
363LF0000X
Family Nurse Practitioner
R875232
MS
363LF0000X
Family Nurse Practitioner
Primary
RN232646
GA

Other

Enumeration date
03/24/2009
Last updated
04/18/2024
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