Individual
ELIZABETH KIMLEY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
1033 SWEET CREAM CT, DURHAM, NC 27703-6558
(919) 368-0682
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5017842
NC
2080P0203X
Pediatric Critical Care Medicine Physician
5017842
NC
Other
Enumeration date
03/20/2023
Last updated
10/03/2025
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