Doctor Name: | KIBRA DORSEY |
NPI Number: | 1043437999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 709730 |
Business Practice Address: | 2728 Spirit Creek Rd Hephzibah, GA - 308155993 |
Business Phone Number: | 7067988003 |
Business Fax Number: | 7067988003 |
Mailing Address: | 2728 Spirit Creek Rd, HEPHZIBAH |
State: | GA |
Postal Code: | 308155993 |
Phone Number: | 7067988003 |
Fax Number: | 7067988003 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 709730 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |