Individual provider · Type 1 NPI
Kimberly Eileen Credle, RN, BSN, RD, LD
Diabetes Educator Registered Nurse · Athens, GA
NPI number
1154518256
Active
Practice location
1230 Baxter St
Athens, GA 30606-3712
Fax (706) 389-2151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian | 133V00000X | LD002413 (GA) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | RN185977 (GA) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1154518256
Kimberly Eileen Credle, RN, BSN, RD, LD's National Provider Identifier is 1154518256, issued on Oct 2, 2007. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Athens, GA. The record was last updated on Oct 2, 2007.