Individual
KAITLYN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1400 TULLIE RD NE FL 1, ATLANTA, GA 30329-2309
(404) 785-8787
(404) 785-8788
Mailing address
1400 TULLIE RD NE FL 1, ATLANTA, GA 30329-2309
(404) 785-8787
(404) 785-8788
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN258208
GA
Other
Enumeration date
07/20/2021
Last updated
02/17/2022
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