Individual
KIMBERLY DAWN ZANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 716-4039
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301093227
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477609063
—
VA
05
—
Q0118N
—
SC
Enumeration date
01/26/2007
Last updated
07/02/2014
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