NPI age
6 years
Enumerated 2020-01-31
● Active
Type 1 · Individual
Kimberly Petenbrink
Petenbrink is 1 of 2 technician providers in Martin and 1 of 262 in Georgia.
Primary specialty
Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-01-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 262 active technician providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Practice location
117 Landrum Dr
Martin, GA 305572546
Mailing address
117 Landrum Dr
Martin, GA 305572546
Specialties
-
Technician PrimaryAn 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,...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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