Individual
KIMBERLY W HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0050-03508
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000764
—
NC
Enumeration date
09/23/2007
Last updated
03/03/2014
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