Individual
KIMBERLY ANNE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 QUEENS RD STE 510, CHARLOTTE, NC 28204-3215
(980) 302-6440
(980) 302-6445
Mailing address
125 QUEENS RD STE 510, CHARLOTTE, NC 28204-3215
(980) 302-6440
(980) 302-6445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-00877
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
2007-00877
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
2007-00877
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146F7
BLUE CROSS
NC
01
—
202028
MEDCOST
NC
05
—
3810009712
—
WV
05
—
5907442
—
NC
01
—
810639
PARTNERS
NC
01
—
9746068
AETNA
NC
05
—
Q77008
—
SC
Enumeration date
02/14/2007
Last updated
08/12/2021
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