Individual
MRS. KIMBERLY JO ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5661
(704) 210-5660
Mailing address
220 FERNCLIFF DR, SALISBURY, NC 28147-7211
(704) 636-1420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050434
—
NC
Enumeration date
07/07/2006
Last updated
07/08/2007
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