Individual
MS. KIMBERLY MARIE BROSAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7810 PROVIDENCE RD, SUITE 102, CHARLOTTE, NC 28226-2954
(704) 543-6636
(704) 752-4185
Mailing address
7810 PROVIDENCE RD, SUITE 102, CHARLOTTE, NC 28226-2954
(704) 543-6636
(704) 752-4185
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103966
NC
Other
Enumeration date
08/05/2006
Last updated
03/18/2011
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