Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Deluise Liccardo, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1497380497

Kathryn Deluise Liccardo, CPNP-PC is a Pediatric Nurse Practitioner in Buford, Georgia. Works from 5 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

4095 S Lee St
Buford, GA 30518-3647
Phone: (770) 932-8519
Fax: (770) 533-4798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 155 Professional Dr, Baldwin, GA 30511-4000 — (706) 776-2368
  • 1270 Friendship Rd, Braselton, GA 30517-5608 — (678) 207-4200
  • 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 — (770) 535-3611
  • 4019 Executive Drive, Oakwood, GA 30566-3433 — (770) 533-6500

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN-NP223459 (GA)

Record details

NPI number1497380497
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025