Peek, Kristen
Peek, Kristen is an individual health care provider with primary practice located at 297 Cooper Rd , Loganville GA 30052-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peek, Kristen can be contacted via phone (678) 381-2630.Contact Information
Primary practice address
297 Cooper Rd
Loganville GA 30052-2518
Phone: (678) 381-2630
Fax: (678) 381-2627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN207387 | Georgia |
Profile Details
| NPI number | 1427423094 |
|---|---|
| LBN Legal business name | Peek, Kristen |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2015 |
| Last updated | Aug 4th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427423094 | NPPES |
| Georgia | MEDICAID | 003172811D |
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