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Organization

KIMBERLY S ADAMS PSYD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY S ADAMS PSY.D. (PRESIDENT)
(910) 254-4818
Entity
Organization

Contact information

Practice address
710 MILITARY CUTOFF RD, SUITE 120, WILMINGTON, NC 28405-2375
(910) 254-4818
(910) 254-4819
Mailing address
710 MILITARY CUTOFF RD, SUITE 120, WILMINGTON, NC 28405-2375
(910) 254-4818
(910) 254-4819

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6001005
NC
Enumeration date
11/06/2007
Last updated
07/28/2010
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