Kimberley P Shanks
Allergist & Immunologist Allergist Pediatric Allergist
2510 Limestone Pkwy
Gainesville
, Georgia 30501-2089
Kimberley P Shanks
Allergist & Immunologist Allergist Pediatric Allergist
2510 Limestone Pkwy
Gainesville
, Georgia 30501-2089
(770) 219-8420
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Kimberley P Shanks
- Po Box 742616
- Atlanta, GA
- Zip : 30374-2616
- Phone : (770) 219-8420
Second Address
- Kimberley P Shanks
- 2510 Limestone Pkwy
- Gainesville, GA
- Zip : 30501-2089
- Fax : (770) 594-8999
- Phone : (770) 534-9933
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FAQs
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Is Kimberley P Shanks a sole practitioner?
Is Kimberley P Shanks accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 057840 | GA |
| N | 207KA0200X | Allergist | 057840 | GA |
| N | 2080P0201X | Pediatric Allergist | 057840 | GA |
National Provider Identifier
| NPI | 1508887621 |
|---|---|
| Provider Name | Kimberley P Shanks |
| First Address | Atlanta, GA 30374-2616 |
| Second Address | Gainesville, GA 30501-2089 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/07/2006 |
| Last Update Date | 06/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 242084536C | (05) | GA |
| 58I030003 | MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.