Individual
KIMALISA LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
(910) 491-1764
Mailing address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 491-1760
(910) 491-1764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012570
NC
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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