Shanks, Kimberley P
Shanks, Kimberley P is an individual health care provider with primary practice located at 2510 Limestone Pkwy , Gainesville GA 30501-2089. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Shanks, Kimberley P can be contacted via phone (770) 534-9933.Contact Information
Primary practice address
2510 Limestone Pkwy
Gainesville GA 30501-2089
Phone: (770) 534-9933
Fax: (770) 594-8999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 057840 | Georgia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 057840 | Georgia |
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 057840 | Georgia |
Profile Details
| NPI number | 1508887621 |
|---|---|
| LBN Legal business name | Shanks, Kimberley P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Oct 6th, 2020 - about 4 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 | 1508887621 | NPPES |
| Georgia | Other | 58I030003 | MEDICARE |
| Georgia | MEDICAID | 242084536C | MEDICARE |
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