Individual
MRS. KIMBERLY Y LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3257 GLENVIEW CIR SW, ATLANTA, GA 30331-2405
(404) 808-5203
Mailing address
3257 GLENVIEW CIR SW, ATLANTA, GA 30331-2405
(404) 808-5203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN168271
GA
390200000X
Student in an Organized Health Care Education/Training Program
230786
NC
Other
Enumeration date
08/03/2011
Last updated
01/06/2026
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