Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY A SERRAVEZZA, MD
ActiveSports Medicine (Psychiatry) · ATLANTA, GA
Registration Details
- NPI Number
- 1235130626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (20.699996170549 yrs)
- Last Updated
- Feb 24, 2009
- License
-
052048 (GA)
Practice Information
- Address
-
4 EXECUTIVE PARK EAST NESUITE 470ATLANTA, GA, 303292245Browse GA providers · Browse ZIP 30329
- Phone
- 4043279682
- Primary Specialty
-
Sports Medicine (Psychiatry)
2084S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.