Individual
DR. KIMBERLY DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204
(704) 384-4021
(704) 384-5601
Mailing address
7204 AMBERHOUSE DR, CHARLOTTE, NC 28212-0335
(704) 384-4021
(704) 384-5601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2019-01124
NC
208000000X
Pediatrics Physician
218386
NC
208M00000X
Hospitalist Physician
Primary
2019-01124
NC
Other
Enumeration date
04/07/2016
Last updated
07/16/2024
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