Individual
KIMBERLY KEMP CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 BRADFORD PL, GOLDSBORO, NC 27530-8189
(919) 396-2833
Mailing address
2502 BRADFORD PL, GOLDSBORO, NC 27530-8189
(919) 396-2833
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NC
Other
Enumeration date
03/24/2018
Last updated
04/13/2018
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