Individual
MS. KIMBER L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 PIEDMONT TRACE DR, GREENSBORO, NC 27409-9200
(336) 392-4203
Mailing address
4420 PIEDMONT TRACE DR, GREENSBORO, NC 27409-9200
(336) 392-4203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234195
NC
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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