Individual
KIMBERLY STEWART ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
710 MILITARY CUTOFF RD, SUITE 120, WILMINGTON, NC 28405-2375
(910) 254-4818
(910) 254-4819
Mailing address
710 MILITARY CUTOFF RD, SUITE 120, WILMINGTON, NC 28405-2375
(910) 254-4818
(910) 254-4819
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3437
NC
103TC0700X
Clinical Psychologist
3437
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6001005
—
NC
Enumeration date
12/09/2006
Last updated
07/28/2010
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