Individual
KEVIN LEE LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
420 N CENTER ST, HICKORY, NC 28601-5033
(828) 315-5000
Mailing address
10 3RD AVE NE STE 200, HICKORY, NC 28601-5044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217010
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
217010
NC
Other
Enumeration date
07/09/2018
Last updated
11/21/2018
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