Individual
KIMBERLY PUERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
Mailing address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN224244
GA
Other
Enumeration date
02/21/2022
Last updated
06/12/2023
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