Individual
KIMBERLY DUVALL WHITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
154 S MAIN ST, TROUTMAN, NC 28166-0200
(704) 528-9903
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
264227
NC
363LF0000X
Family Nurse Practitioner
Primary
5013854
NC
Other
Enumeration date
11/19/2020
Last updated
02/23/2021
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