# NITELITE PEDIATRIC URGENT CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437910510
- **Authorized official:** KIMBERLY FOX MD (OWNER)
- **Authorized official phone:** (919) 946-0604

## Contact information

- **Practice address:** 1519 E BOOKER DAIRY RD STE B, SMITHFIELD, NC 27577-9472
- **Practice address phone:** (919) 205-1735
- **Mailing address:** 1519 E BOOKER DAIRY RD STE B, SMITHFIELD, NC 27577-9472
- **Mailing address phone:** (919) 205-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | — |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2024
- **Last updated:** 01/17/2024