Provider Demographics
NPI:1548772999
Name:HART, KATHRYN RICHTER (PNP)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:RICHTER
Last Name:HART
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:WELLESLEY
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6095 BARFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4408
Mailing Address - Country:US
Mailing Address - Phone:404-256-2688
Mailing Address - Fax:770-685-7114
Practice Address - Street 1:6095 BARFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4408
Practice Address - Country:US
Practice Address - Phone:404-256-2688
Practice Address - Fax:770-685-7114
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN236600208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA059227895OtherDRIVER'S LICENSE
KSTMP-155490OtherSTATE APRN LICENSE