Mrs Kimberly Eileen Credle, RN, BSN, RD, LD is a
Registered Nurse - Diabetes Educator based in Athens, Georgia. Mrs Kimberly Eileen Credle is licensed to practice in Georgia (license number RN185977) and her current practice location is
1230 Baxter St, Athens, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 389-2150.
NPI number for Mrs Kimberly Eileen Credle is 1154518256 and her current mailing address is 1230 Baxter St, Athens, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154518256.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Eileen Credle |
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Gender | Female |
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Speciality | Registered Nurse - Diabetes Educator |
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Location | 1230 Baxter St, Athens, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154518256
- Provider Enumeration Date: 10/02/2007
- Last Update Date: 10/02/2007
Medical Identifiers
Medical identifiers for Mrs Kimberly Eileen Credle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154518256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD002413 (Georgia) | Secondary |
163WD0400X | Registered Nurse - Diabetes Educator | RN185977 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Eileen Credle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kimberly Eileen Credle, RN, BSN, RD, LD 1230 Baxter St, Athens, GA 30606-3712 Ph: (706) 389-2150 | Mrs Kimberly Eileen Credle, RN, BSN, RD, LD 1230 Baxter St, Athens, GA 30606-3712 Ph: (706) 389-2150 |
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