Individual
CARLA REBECCA KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16825 ROSMAN HWY, LAKE TOXAWAY, NC 28747-9593
(828) 862-6900
(828) 862-6904
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010375
NC
363LF0000X
Family Nurse Practitioner
Primary
5010375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0823
—
SC
Enumeration date
02/23/2006
Last updated
01/04/2022
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