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NPI Code Detail

MEDICARE: KIMBERLY PINEDA

MEDICARE:   KIMBERLY  PINEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered NurseRN227344GA

General Provider Information

NPI Number : 1629725502
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY PINEDA
Provider Business Mailing Address
First Line : 3356 ROSECLIFF TRCE
Second Line :
City : BUFORD
State : GA
Zip : 30519-3022
Country : US
Telephone Number : 404-654-7817
Fax Number :
Provider Business Practice Location Address
First Line : 3356 ROSECLIFF TRCE
Second Line :
City : BUFORD
State : GA
Zip : 30519-3022
Country : US
Telephone Number : 404-654-7817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2022
Last Update Date : 03/09/2022

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Directions to “ KIMBERLY PINEDA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.