Provider Demographics
NPI:1356079347
Name:AARON, KIMMIE (NP)
Entity type:Individual
Prefix:MS
First Name:KIMMIE
Middle Name:
Last Name:AARON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 CHARLEY HARPER DR SE STE 170
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1127
Mailing Address - Country:US
Mailing Address - Phone:770-382-0114
Mailing Address - Fax:770-382-1393
Practice Address - Street 1:11 CHARLEY HARPER DR SE STE 170
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-1127
Practice Address - Country:US
Practice Address - Phone:770-382-0114
Practice Address - Fax:770-382-1393
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN191541363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care