Individual
KIMBERLY FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 QUAIL RUN DR, KINGSTOWN, NC 28150-9001
(704) 751-6215
Mailing address
1804 QUAIL RUN DR, KINGSTOWN, NC 28150-9001
(704) 751-6215
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5341038
NC
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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