Kathryn Liccardo, CPNP-PC

Individual Active
NPI 1497380497
Pediatric Nurse Practitioner Buford, GA

NPI 1497380497 belongs to Kathryn Liccardo, CPNP-PC, a pediatric nurse practitioner with a practice location in Buford, GA. The NPI was issued on March 10, 2020, and the record was last updated in NPPES on October 30, 2025. 4 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X APRN-NP223459 (GA)

Practice locations

4095 S Lee St
Buford, GA 30518-3647
Phone: (770) 932-8519
155 Professional Dr
Baldwin, GA 30511-4000
Phone: (706) 776-2368
1270 Friendship Rd
Braselton, GA 30517-5608
Phone: (678) 207-4200
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone: (770) 535-3611
4019 Executive Drive
Oakwood, GA 30566-3433
Phone: (770) 533-6500

Local context

Active NPPES records list 162 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 18 of them within 10 miles.

The same primary taxonomy is listed by 942 in Georgia and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kathryn Deluise Liccardo
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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