Individual
STEPHEN ERNEST MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12610 N COMMUNITY HOUSE RD STE 100, CHARLOTTE, NC 28277-3892
(704) 752-3730
(704) 752-9056
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2013-00734
NC
208800000X
Urology Physician
36486
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC2277
—
SC
Enumeration date
06/17/2008
Last updated
05/27/2021
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