Individual
MRS. KIMBERLY CORNETTE EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 CABARRUS AVE E STE 200, CONCORD, NC 28025-3781
(855) 743-2247
Mailing address
2066 MARSHALL SMITH RD, KING, NC 27021-8625
(336) 918-7941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020256
NC
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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