Search › Georgia › 363LP0200X
Kathryn Liccardo, CPNP-PC
NPI 1497380497 · on the registry since 2020
Practice
- Address
- 4095 S Lee St
Buford, GA 30518 - Phone
- (770) 932-8519
- Fax
- (770) 533-4798
- Clinicians at this address
- 3
Additional practice sites
- 155 Professional Dr, Baldwin, GA
- 1270 Friendship Rd, Braselton, GA
- 725 Jesse Jewell Pkwy Se, Gainesville, GA
- 4019 Executive Drive, Oakwood, GA
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia