Individual
BONI LEE KILLIAN-COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
212 29TH AVE NE, SUITE 1, HICKORY, NC 28601-1084
(828) 326-0658
(828) 326-7105
Mailing address
212 29TH AVE NE, SUITE 1, HICKORY, NC 28601-1084
(828) 732-5350
(828) 732-5351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
237415
NC
363LF0000X
Family Nurse Practitioner
Primary
5008706
NC
Other
Enumeration date
07/12/2016
Last updated
12/15/2024
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