Nurse Practitioner, Pediatrics
KATHRYN LICCARDO CPNP-PC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497380497 · enumerated 2020-03-10 · record updated 2025-10-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KATHRYN DELUISE
Addresses and phones
- Mailing address PO BOX 658, GAINESVILLE, GA, 30503-0658 (770) 718-1122 Fax (770) 533-4786 Google Maps Apple Maps OpenStreetMap
- Practice location 4095 S LEE ST, BUFORD, GA, 30518-3647 (770) 932-8519 Fax (770) 533-4798 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License APRN-NP223459 GA
In this directory
Locations and evidence
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Practice location
BUFORD, GA, 305183647
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.