Individual
DER CHRISTINE KSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2212 SHENANDOAH RD, RALEIGH, NC 27603-2641
(919) 896-4622
Mailing address
2212 SHENANDOAH RD, RALEIGH, NC 27603-2641
(919) 896-4622
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
KSOR-TPJXH
NC
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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