Daphene Luvata Kimball-Butler in Porterdale - Wound Care
Daphene Luvata Kimball-Butler - NPI 1669448643
Daphene Luvata Kimball-Butler is a Wound Care in Porterdale, Georgia. Daphene Luvata Kimball-Butler practices all healthcare services and medical treatments related to Wound Care. The NPI Number for Daphene Luvata Kimball-Butler is 1669448643. The last update date is 2010-01-25.
Daphene Luvata Kimball-Butler's current location address is 40 Blake Ave, Porterdale, Georgia. You can contact this provider via phone number 7066505793 and fax number 7707862223. The mailing address for Daphene Luvata Kimball-Butler is 40 Blake Ave, Porterdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daphene Luvata Kimball-Butler |
|---|---|
| Address | 40 Blake Ave, Porterdale, Georgia |
| Phone Number | 7066505793 |
| Fax Number | 7707862223 |
| Sole Proprietor | Y |
| Credentials | RN.PCM.CLC |
NPI Number Detail
| NPI Number | 1669448643 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2010-01-25 |
Provider Mailing Address Detail
| Address | 40 Blake Ave |
|---|---|
| City | Porterdale |
| State | Georgia (GA) |
| Post Code | 300145016 |
| Phone Number | 7066505793 |
| Fax Number | 7707862223 |
Provider's Primary Taxonomy Detail
| Speciality | Wound Care |
|---|---|
| Taxonomy | 163Ww0000X |
| Licence No | RN136141 |
|
Definition: A registered nurse with advanced expertise in caring for skin wounds and ulcers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000847459B | GA | -- | |
| 000847459A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Daphene Luvata Kimball-Butler by the Centers for Medicare & Medicaid Services?
The Daphene Luvata Kimball-Butler has been issued the NPI (National Provider Identifier) 1669448643, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Daphene Luvata Kimball-Butler is geographically located?
The Daphene Luvata Kimball-Butler is physically situated at the following location: 40 Blake Ave, Porterdale, GA, 300145016.
What is Daphene Luvata Kimball-Butler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daphene Luvata Kimball-Butler's specialized field of practice is Wound Care, and the corresponding taxonomy code that categorizes this area of specialization is 163Ww0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669448643 to Daphene Luvata Kimball-Butler?
The Centers for Medicare & Medicaid Services originally issued the 1669448643 to Daphene Luvata Kimball-Butler on 2006-02-28.
When was the information regarding Daphene Luvata Kimball-Butler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Daphene Luvata Kimball-Butler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-25.