Individual
HOLLY D KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 REDMOND RD NW, EMERGENCY DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
PO BOX 162970, ATLANTA, GA 30321-2970
(800) 443-3670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN123684
GA
363LF0000X
Family Nurse Practitioner
Primary
RN123684
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN123684
LICENSE
GA
Enumeration date
03/09/2010
Last updated
05/23/2017
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