Individual
JOHN KEVIN PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403-2565
(910) 742-9243
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013886
NC
363LF0000X
Family Nurse Practitioner
5013886
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5013886
NC
Other
Enumeration date
05/04/2022
Last updated
06/22/2022
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