| Doctor Name: | DR. KIMBERLY DUARTE |
| NPI Number: | 1093128969 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 74764 |
| Business Practice Address: | 655 7th St Bldg 700700-a 78 Mdg/sghc Robins Afb, GA - 310982227 |
| Business Phone Number: | 4783278457 |
| Business Fax Number: | |
| Mailing Address: | 655 7th St Bldg 700700-a, 78 Mdg/sghc ROBINS AFB |
| State: | GA |
| Postal Code: | 310982227 |
| Phone Number: | 4783278457 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2014 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 74764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |