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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY PETENBRINK

Active Sole Proprietor

KIMBERLY PETENBRINK is a Podiatric Surgery healthcare provider located in MARTIN, Georgia. NPI 1629609334 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · MARTIN, GA

Registration Details

NPI Number
1629609334
Provider Type
Individual
Gender
Female
NPI Issued
Jan 31, 2020 (6.5589373583141 yrs)
Last Updated
Jan 31, 2020
Sole Proprietor
Yes

Practice Information

Address
117 LANDRUM DR
MARTIN, GA, 305572546
Browse GA providers · Browse ZIP 30557
Phone
7062442210
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in MARTIN, GA

Name Credential NPI
JAIME NEILL 1962053173
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.