Individual
MRS. KIMBERLY TOWNES SODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRAIL, RALEIGH, NC 27607
(919) 784-3034
Mailing address
1107 FRONT GATE DR, WAKE FOREST, NC 27587-3856
(919) 417-8759
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166766
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
083031
NC
Other
Enumeration date
09/10/2009
Last updated
02/23/2011
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