Provider Demographics
NPI:1689651390
Name:LAMBERT, KATHLEEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:E
Last Name:LAMBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:770-760-9949
Mailing Address - Fax:770-760-9951
Practice Address - Street 1:1501 MILSTEAD RD NE STE 110
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3849
Practice Address - Country:US
Practice Address - Phone:770-760-9949
Practice Address - Fax:770-760-9951
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA070216207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003129889EMedicaid
GA003136604FMedicaid
GA003136604EMedicaid
GA003136604AMedicaid
GA003136604EMedicaid