Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | RN097523 | GA |
NPI | 1215073135 |
---|---|
Provider Name | Kimberly R Storey |
First Address | Alpharetta, GA 30009-1974 |
Second Address | Alpharetta, GA 30009-1974 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 02/02/2011 |