person
Kirby Bandoquillo, NP
Family Nurse Practitioner in Marietta, Georgia
NPI 1598150195

Kirby Bandoquillo is a Family Nurse Practitioner based in Woodstock, GA and is specialized in Family. Kirby Bandoquillo practices in Marietta, GA and has the professional credentials of NP. The NPI Number for Kirby Bandoquillo is 1598150195 and holds a License No. RN221793 (Georgia).

The current practice location address for Kirby Bandoquillo is 61 Whitcher St Ne Ste 3110, Marietta, GA and can be reached out via phone at 770-422-2326.

Location: 61 Whitcher St Ne Ste 3110, Marietta, GA, 30189-4881
person
Provider Profile Details
NPI Number
1598150195
Provider Name
Kirby Bandoquillo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
61 Whitcher St Ne Ste 3110, Marietta, GA, 30189-4881
Phone Number
770-422-2326
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
61 Whitcher St Ne Ste 3110
City
State
Zip
30060-1179
Phone Number
770-422-2326
Fax Number
person
Provider Business Mailing Address Details
Address
61 Whitcher St Ne Ste 3110
City
State
Zip
30060-1179
Phone Number
770-422-2326
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN221793 (Georgia)
Definition
Definition to come...
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