Individual
KIMBERLY RYCKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
1303 DANTIGNAC ST STE 2100, AUGUSTA, GA 30901-2777
(706) 396-0604
(706) 396-0606
Mailing address
1303 DANTIGNAC ST STE 2100, AUGUSTA, GA 30901-2777
(706) 396-0604
(706) 396-0606
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20172511
GA
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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