Individual
KIM S OUTLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1909 S CANNON BLVD, KANNAPOLIS, NC 28083-6107
(704) 938-1400
(704) 938-5892
Mailing address
1909 S CANNON BLVD, KANNAPOLIS, NC 28083-6107
(704) 938-1400
(704) 938-5892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5693
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5693
NORTH CAROLINA STATE BOARD OF OT
NC
Enumeration date
10/29/2008
Last updated
10/29/2008
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