Kimball-Butler, Daphene Luvata

Kimball-Butler, Daphene Luvata is an sole proprietor health care provider with primary practice located at 4778 N Henry Blvd , Stockbridge GA 30281-3566. She recently has 8 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Case Management, Nursing Service Providers / Lactation Consultant, Nursing Service Providers / Maternal Newborn, Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Wound Care, Nursing Service Providers / Obstetric, High-Risk, Nursing Service Providers / Perinatal. Nursing Service Providers / Community Health is her primary health care specialty. Kimball-Butler, Daphene Luvata can be contacted via phone (706) 650-5793.

Contact Information

Primary practice address
4778 N Henry Blvd Stockbridge GA 30281-3566
Phone: (706) 650-5793
Fax: (770) 786-2223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN136141 Georgia
Nursing Service Providers / Case Management 163WC0400X RN136141 Georgia
Nursing Service Providers / Lactation Consultant 163WL0100X RN136141 Georgia
Nursing Service Providers / Maternal Newborn 163WM0102X RN136141 Georgia
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X RN136141 Georgia
Nursing Service Providers / Wound Care 163WW0000X RN136141 Georgia
Nursing Service Providers / Case Management 163WC0400X R73283 South Carolina
Nursing Service Providers / Community Health 163WC1500X R73283 South Carolina
Nursing Service Providers / Lactation Consultant 163WL0100X R73283 South Carolina
Nursing Service Providers / Maternal Newborn 163WM0102X R73283 South Carolina
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X R73283 South Carolina
Nursing Service Providers / Obstetric, High-Risk 163WX0002X R73283 South Carolina
Nursing Service Providers / Perinatal 163WP1700X R73283 South Carolina
Nursing Service Providers / Wound Care 163WW0000X R73283 South Carolina

Profile Details

NPI number 1669448643
LBN Legal business name Kimball-Butler, Daphene Luvata
Credentials RN.PCM.CLC.SANE.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Jan 25th, 2010 - about 15 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 1669448643 NPPES
Georgia MEDICAID 000847459B
Georgia MEDICAID 000847459A

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