Kimberly "Kim" Ivester's National Provider Identifier (NPI) Details
Kimberly "Kim" Ivester, LPC
NPI: 1396315552
Enumeration Date: 2021-06-30
Last updated: 2021-06-30
Sole Proprietor: NO
Status: active
Postal Address: 1655 GEORGIA HIGHWAY 120, TALLAPOOSA, GA
Phone: 770-574-7647
Primary Practice Address: 24 CAMP LN, CARROLLTON, GA
Practice's phone: 770-363-6075