Individual
KIMBERLY RUSSELL MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2602 COURTIER DR, GREENVILLE, NC 27834-7818
(252) 752-0483
Mailing address
1607 CAMBRIDGE DR, KINSTON, NC 28504-2001
(252) 559-3804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
182905
NC
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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