Individual
KATHRYN LIM HARTGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 KIMEL PARK DR STE 155, WINSTON SALEM, NC 27103-6946
(336) 765-6637
(336) 765-6964
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011372
NC
Other
Enumeration date
01/09/2019
Last updated
06/28/2023
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