Individual
CHARLES M KIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 JEFFERSON ST, WHITEVILLE, NC 28472-3634
(910) 642-8011
(910) 642-9328
Mailing address
4225 WACCAMAW SHORES RD, LAKE WACCAMAW, NC 28450-9449
(910) 642-8011
(910) 642-9328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
027795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051942
—
NC
Enumeration date
01/17/2007
Last updated
07/08/2007
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