Individual
KIMBERLY C CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3917 BURLINGTON RD, GREENSBORO, NC 27405-8652
(336) 621-1163
(336) 621-1163
Mailing address
4423 MANESS RD, GREENSBORO, NC 27405-8635
(336) 621-1163
(336) 621-1163
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00671
NC
332BC3200X
Customized Equipment (DME)
00671
NC
Other
Enumeration date
11/06/2006
Last updated
08/12/2008
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