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Ms. Daphene Luvata Kimball-butler, RNPCMCLCSANE
Wound Care Registered Nurse in Stockbridge, Georgia
NPI 1669448643

Daphene Luvata Kimball-butler is a Wound Care Registered Nurse based in Porterdale, GA and is specialized in Wound Care. Daphene Luvata Kimball-butler practices in Stockbridge, GA and has the professional credentials of RNPCMCLCSANE. The NPI Number for Daphene Luvata Kimball-butler is 1669448643 and holds a License No. RN136141 (Georgia).

The current practice location address for Daphene Luvata Kimball-butler is 4778 N Henry Blvd, Stockbridge, GA and can be reached out via phone at 706-650-5793 and via fax at 770-786-2223.

Location: 4778 N Henry Blvd, Stockbridge, GA, 30014-5016
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Provider Profile Details
NPI Number
1669448643
Provider Name
Daphene Luvata Kimball-butler
Credential
RNPCMCLCSANE
Provider Entity Type
Individual
Gender
Female
Address
4778 N Henry Blvd, Stockbridge, GA, 30014-5016
Phone Number
706-650-5793
Fax Number
770-786-2223
Provider Enumeration Date
02/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000847459B 05 GA
000847459A 05 GA
institution
Provider Business Practice Location Address Details
Address
4778 N Henry Blvd
City
State
Zip
30281-3566
Phone Number
706-650-5793
Fax Number
770-786-2223
person
Provider Business Mailing Address Details
Address
4778 N Henry Blvd
City
State
Zip
30281-3566
Phone Number
706-650-5793
Fax Number
770-786-2223
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
License No.
R73283 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
R73283 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Continuing Education/Staff Development
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Maternal Newborn
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Perinatal
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 8
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Obstetric, High-Risk
Taxonomy
License No.
RN136141 (Georgia)
Definition
Definition to come...
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