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KIMBERLY PETENBRINK
NPI 1629609334
Technician - Attendant Care Provider in Martin, GA

Active since January 31, 2020
117 LANDRUM DR, MARTIN, GA 30557(706) 244-2210 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Petenbrink NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY PETENBRINK (NPI 1629609334) is an individual attendant care provider provider in Martin, Georgia and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1629609334
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameKIMBERLY PETENBRINK
Location Address117 LANDRUM DRMartin, GA 30557-2546
Mailing Address117 Landrum DrMartin, GA 30557-2546 · (706) 244-2210
Phone(706) 244-2210
Sole ProprietorYes
Enumeration DateJanuary 31, 2020
✔ NPI 1629609334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
117 LANDRUM DR, Martin, GA 30557
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Petenbrink's NPI number?

The NPI number for Kimberly Petenbrink is 1629609334. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Kimberly Petenbrink located?

Kimberly Petenbrink practices at 117 Landrum Dr, Martin, GA 30557. The listed phone number is (706) 244-2210.

What is Kimberly Petenbrink's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Kimberly Petenbrink was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.