Individual
KIMBERLY LYNN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1658
LA
363L00000X
Nurse Practitioner
Primary
AP05294
LA
Other
Enumeration date
07/06/2007
Last updated
09/28/2018
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