Individual
KIMBERLY LYNN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4530 FAYETTEVILLE RD, RALEIGH, NC 27603-3614
(919) 235-1930
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010140
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598273286
—
NC
Enumeration date
01/16/2018
Last updated
04/10/2024
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