| Doctor Name: | MISS KIMMIE A CARDEN |
| NPI Number: | 1033149398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 004289 |
| Business Practice Address: | 2735 Central Ave S Tifton, GA - 317945645 |
| Business Phone Number: | 2293885690 |
| Business Fax Number: | |
| Mailing Address: | 907 18th St E, Suite 150 TIFTON |
| State: | GA |
| Postal Code: | 317943643 |
| Phone Number: | 2293885690 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 004289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |