Individual
MRS. KIM R LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
5278 ADAMS ST NE, COVINGTON, GA 30014-2628
(770) 786-2201
(770) 786-0270
Mailing address
5278 ADAMS ST NE, COVINGTON, GA 30014-2628
(770) 786-2201
(770) 786-0270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN140100 CNS PMH NP
GA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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