Individual
MS. DAPHENE LUVATA KIMBALL-BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.PCM.CLC.SANE.
Contact information
Practice address
4778 N HENRY BLVD, STOCKBRIDGE, GA 30281-3566
(706) 650-5793
(770) 786-2223
Mailing address
40 BLAKE AVE, PORTERDALE, GA 30014-5016
(706) 650-5793
(770) 786-2223
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
R73283
SC
163WC0400X
Case Management Registered Nurse
RN136141
GA
163WC1500X
Community Health Registered Nurse
R73283
SC
163WC1500X
Community Health Registered Nurse
Primary
RN136141
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
R73283
SC
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN136141
GA
163WL0100X
Lactation Consultant (Registered Nurse)
R73283
SC
163WL0100X
Lactation Consultant (Registered Nurse)
RN136141
GA
163WM0102X
Maternal Newborn Registered Nurse
R73283
SC
163WM0102X
Maternal Newborn Registered Nurse
RN136141
GA
163WP1700X
Perinatal Registered Nurse
R73283
SC
163WW0000X
Wound Care Registered Nurse
R73283
SC
163WW0000X
Wound Care Registered Nurse
RN136141
GA
163WX0002X
High-Risk Obstetric Registered Nurse
R73283
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000847459A
—
GA
05
—
000847459B
—
GA
Enumeration date
02/28/2006
Last updated
01/25/2010
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