Provider Demographics
NPI:1972986594
Name:KARLIN, KIMBERLY (BSN, RN, CDCES)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:KARLIN
Suffix:
Gender:F
Credentials:BSN, RN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:771 OLD NORCROSS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-4980
Mailing Address - Country:US
Mailing Address - Phone:770-339-1387
Mailing Address - Fax:678-252-2386
Practice Address - Street 1:771 OLD NORCROSS RD STE 200
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4980
Practice Address - Country:US
Practice Address - Phone:770-339-1359
Practice Address - Fax:678-252-2386
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN141052163WD0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health