Provider Demographics
NPI:1285096115
Name:FOX, KIMBERLEY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KIMBERLEY
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CLIFTON RD NE, MS A-04
Mailing Address - Street 2:CDC
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329
Mailing Address - Country:US
Mailing Address - Phone:404-718-1408
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFTON RD NE, MS A-04
Practice Address - Street 2:CDC
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329
Practice Address - Country:US
Practice Address - Phone:404-718-1408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA49445207RI0200X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease