Individual
MRS. ALEXANDRIA NICOLE KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL STE 100, CHARLOTTE, NC 28277-0745
(704) 323-3400
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13449
NC
Other
Enumeration date
06/20/2018
Last updated
11/06/2024
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