Canupp, Kimberly Diane

Canupp, Kimberly Diane is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Canupp, Kimberly Diane can be contacted via phone (770) 219-9000.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 219-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN268584 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN268584 Georgia

Profile Details

NPI number 1619552536
LBN Legal business name Canupp, Kimberly Diane
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2021
Last updated Mar 28th, 2023 - about last year

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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