NPI 1154518256 · live from the CMS NPI Registry
Kimberly Eileen Credle, RN, BSN, RD, LD
Registered Nurse, Diabetes Educator in Athens, GA. National Provider Identifier 1154518256, active.
NPI record
| NPI | 1154518256 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 1230 Baxter St, Athens, GA 30606 |
| Practice phone | 706-389-2150 |
| Enumerated | October 2, 2007 |
| Last updated | October 2, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | LD002413 (GA) |
| Registered Nurse, Diabetes Educator primary | 163WD0400X | RN185977 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.