Individual
MRS. KIMBERLY CHANNEL MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2707 MEDICAL OFFICE PL OFC, GOLDSBORO, NC 27534-9458
(919) 587-3700
(919) 580-4080
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005725
NC
363LF0000X
Family Nurse Practitioner
5005725
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
5005725
NC
Other
Enumeration date
07/18/2012
Last updated
05/11/2021
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