KIMBERLY WYATT (NPI# 1336579622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336579622 |
| Entity Type | Individual |
| Full Name | KIMBERLY WYATT |
| Credential | D.C. |
| Practice Address |
1670 Mckendree Church Rd Suite 400 B Lawrenceville GA 30043-4107 |
| Practice Telephone | 6789850444 |
| Practice Fax Number | 6789850444 |
| Mailing Telephone | 6789850444 |
| Mailing Fax Number | 6789850444 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR009225 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223947 | Kimberly Lashawn Wyatt | Licensed Practical Nurse | 180 Autumn Chapel Way, Rochester, NY 14624-5304 | 2020-04-10 |
| 1538492301 | Kimberly Rene Wyatt | Massage Therapist | 3229 Broadway St Ste G, North Bend, OR 97459-2203 | 2009-09-11 |
| 1326024902 | Kimberly Sue Wyatt | Internal Medicine | 509 Se Riverside Dr Ste 303, Stuart, FL 34994-2579 | 2005-12-15 |
| 1770116394 | Kimberly Wyatt | Social Worker | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-21 |
| 1245719079 | Kimberly Wyatt | Case Manager/Care Coordinator | 10 Tsienneto Rd, Derry, NH 03038-1505 | 2018-08-13 |
| 1194269019 | Kimberly Saphaire-dawn Wyatt | Counselor | 209 Milwaukee St, Mount Vernon, WA 98273 | 2016-12-12 |
| 1538490297 | Kimberly Anne Wyatt | Physician Assistant | 707 Hollybrook Dr, Longview, TX 75605-2410 | 2010-01-20 |
| Street Address |
1670 MCKENDREE CHURCH RD SUITE 400 B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740480565 | Long Bao Nguyen | Internal Medicine | 1670 Mckendree Church Rd, #800, Lawrenceville, GA 30043-4107 | 2007-07-19 |
| 1063962892 | Vanessa Dang | Nurse Practitioner | 1670 Mckendree Church Rd, Lawrenceville, GA 30043-4107 | 2016-10-05 |
| 1801258876 | Just Health LLC | Chiropractor | 1670 Mckendree Church Rd, Lawrenceville, GA 30043-4107 | 2016-03-28 |
| 1376935023 | Gastroenterology & Hepatology Specialists, LLC | Clinic/Center | 1670 Mckendree Church Rd, #800, Lawrenceville, GA 30043-4107 | 2015-03-03 |
| 1235566118 | Back 2 Life Wellness Studios | Chiropractor | 1670 Mckendree Church Rd, B400, Lawrenceville, GA 30043-4107 | 2013-10-08 |
| 1225309909 | Emory Chiropractic Clinic, LLC | Chiropractor | 1670 Mckendree Church Rd, Bldg: 400 B, Lawrenceville, GA 30043-4107 | 2012-01-26 |
| 1538430202 | Kamlesh Ramji Patel | Chiropractor | 1670 Mckendree Church Rd, Bldg: 400 B, Lawrenceville, GA 30043-4107 | 2012-01-26 |
| 1194961409 | Jnj Services, Inc. | Durable Medical Equipment & Medical Supplies | 1670 Mckendree Church Rd, Bldg # 900, Lawrenceville, GA 30043-4107 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290942 | Shelby Kemp | Chiropractor | 455 Grayson Hwy Ste 107, Lawrenceville, GA 30046-7159 | 2020-06-23 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1366002651 | Princeton Brain Spine and Sports Medicine, LLC | Chiropractor | 558 Lawrence Square Blvd S, Lawrenceville, NJ 08648-2674 | 2019-06-18 |
| 1205491313 | Youngoh Kim | Chiropractor | 1770 Rutland Pass Dr, Lawrenceville, GA 30045-3726 | 2019-05-03 |
| 1568934719 | Renee Christine Robus | Chiropractor | 136 Franklin Corner Rd Ste 110, Lawrenceville, NJ 08648-2586 | 2018-12-28 |
| 1174005284 | Rita Patel | Chiropractor | 2709 Still Farms Pl, Lawrenceville, GA 30043-6156 | 2018-09-05 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1750801205 | Revive Medical Center, LLC | Chiropractor | 753 Old Norcross Rd Ste A, Lawrenceville, GA 30046-4312 | 2017-06-26 |
| 1043602170 | Tn Chiropractic Clinic, LLC | Chiropractor | 1848 Old Norcross Rd Ste A400, Lawrenceville, GA 30044-2311 | 2015-02-26 |
| 1386045706 | Bruce R. Brilliantine | Chiropractor | 2 Princess Road, Suiet #2, Lawrenceville, NJ 08648 | 2014-09-05 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on KIMBERLY WYATT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.