Provider Demographics
NPI:1952391328
Name:LAIRET, KIMBERLY FRANZEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:FRANZEN
Last Name:LAIRET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KIMBERLY
Other - Middle Name:L
Other - Last Name:FRANZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1100 NORTHSIDE FORSYTH DR
Mailing Address - Street 2:STE 450
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6012
Mailing Address - Country:US
Mailing Address - Phone:770-292-3000
Mailing Address - Fax:770-292-3007
Practice Address - Street 1:1400 NORTHSIDE FORSYTH DR STE 290
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7668
Practice Address - Country:US
Practice Address - Phone:770-292-3000
Practice Address - Fax:404-250-8064
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23127208600000X
GA67672208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery