Individual provider · Type 1 NPI

Kelly Perdomo, NP-C

Family Nurse Practitioner · Brookhaven, GA

NPI number 1669917985 Active

Practice location

3369 Buford Hwy NE Ste 810
Brookhaven, GA 30329-3722

Call (404) 321-4692 Map

Fax (404) 321-4366

Mailing address

3369 Buford Hwy, Ste 810
Brookhaven, GA 30329

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN222479 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1669917985

Kelly Perdomo, NP-C's National Provider Identifier is 1669917985, issued on Dec 21, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brookhaven, GA. The record was last updated on Jul 21, 2022.