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Individual

KRISTEN PEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
(678) 381-2627
Mailing address
297 COOPER RD, LOGANVILLE, GA 30052-2518
(678) 381-2630
(678) 381-2627

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP207387
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003172811D
GA
Enumeration date
12/08/2015
Last updated
10/27/2025
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