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Individual

DENNIS KIMBLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
(336) 716-5438
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-5438

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23209
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48969
BCBS
NC
05
8948969
NC
Enumeration date
01/13/2006
Last updated
09/28/2010
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