Individual
KIMBERLY MCCRUDDEN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-7846
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2010-01059
NC
2086S0120X
Pediatric Surgery Physician
2010-01059
NC
Other
Enumeration date
08/07/2006
Last updated
02/23/2021
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