Individual
MS. KIMBERLY ANN FEDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
844 VIVIAN CT, EVANS, GA 30809-6652
(706) 830-6093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
379655-01
NY
367500000X
Certified Registered Nurse Anesthetist
618836
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
RN257693
GA
Other
Enumeration date
05/25/2006
Last updated
10/09/2025
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