Individual
KIMBERLY RENE' LIPSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GIDNEY ST, SHELBY, NC 28150-5806
(704) 600-8609
Mailing address
104 GIDNEY ST, SHELBY, NC 28150-5806
(704) 600-8609
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1004704
NC
1744P3200X
Prosthetics Case Management
203326
NC
175F00000X
Naturopath
923616904
NC
Other
Enumeration date
04/04/2014
Last updated
07/17/2024
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