Anderson, Kimberly

Anderson, Kimberly is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Anderson, Kimberly can be contacted via phone (404) 605-2800.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Phone: (404) 605-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN185233 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5009595 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20151 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN185233 Georgia

Profile Details

NPI number 1528414943
LBN Legal business name Anderson, Kimberly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Jan 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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