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Organization

KMESHUN KIDDOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
K'NETHA MESHUN FAGGART (OWNER)
(980) 331-4031
Entity
Organization

Contact information

Practice address
517 DEBRA CIR SW, CONCORD, NC 28025-8992
(980) 331-4031
Mailing address
8500 AMETHYST LN NW APT 11210, CHARLOTTE, NC 28262-5074
(980) 331-4031

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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