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Individual

KIM HOANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, RN

Contact information

Practice address
1130 N CHURCH ST, GREENSBORO, NC 27401-1038
(336) 272-4578
Mailing address
2616 YORK HOUSE DR, GREENSBORO, NC 27407-6442
(336) 392-7082

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
275086
NC
363LF0000X
Family Nurse Practitioner
Primary
5014591
NC

Other

Enumeration date
06/21/2021
Last updated
06/23/2021
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