Individual
KIMBERLY ANN GUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 MARKET ST STE 112, CHAPEL HILL, NC 27516-4493
(919) 969-9611
(919) 969-9615
Mailing address
300 MARKET ST STE 112, CHAPEL HILL, NC 27516-4493
(919) 969-9611
(919) 969-9615
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2005-00670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902692
—
NC
Enumeration date
07/20/2005
Last updated
07/09/2007
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