Organization
KIMBERLY BOLEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BOLEN MCGREW MA, LPA (PSYCHOLOGIST)
(910) 512-2890
Entity
Organization
Contact information
Practice address
1213 CULBRETH DR, SUITE 125, WILMINGTON, NC 28405-3639
(910) 509-7147
(910) 821-8447
Mailing address
7212 CULLODEN CT, WILMINGTON, NC 28411-7265
(910) 512-2890
(910) 821-8447
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3605
NC
Other
Enumeration date
06/05/2013
Last updated
07/11/2015
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