Individual
KIMBERLY CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7314 WAVERLY WALK AVE UNIT E7, CHARLOTTE, NC 28277-4846
(704) 324-6863
Mailing address
7314 WAVERLY WALK AVE, CHARLOTTE, NC 28277-4845
(704) 324-6863
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
1538845565
NC
208D00000X
General Practice Physician
Primary
1538845565
NC
Other
Enumeration date
06/26/2023
Last updated
02/10/2026
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