Individual
ALEXA ANN KIMKER SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9325 JW CLAY BLVD, STE 221, CHARLOTTE, NC 28262-5411
(704) 863-9050
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11687
NC
Other
Enumeration date
11/12/2021
Last updated
01/30/2025
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