Izzo, Kimberly A

Izzo, Kimberly A is an sole proprietor health care provider with primary practice located at 806 Ridge Creek Ln , Woodstock GA 30189-6207. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Izzo, Kimberly A can be contacted via phone (404) 509-7986.

Contact Information

Primary practice address
806 Ridge Creek Ln Woodstock GA 30189-6207
Phone: (404) 509-7986
Fax: (770) 517-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 005690 Georgia

Profile Details

NPI number 1861563967
LBN Legal business name Izzo, Kimberly A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2006
Last updated Sep 21st, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861563967 NPPES
Georgia MEDICAID 000859064F

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