Individual
KIRK KENDALL KIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
1505 S GLENBURNIE RD, SUITE K, NEW BERN, NC 28562-2625
(252) 646-7181
Mailing address
101 E LARIAT LN, HAVELOCK, NC 28532-2940
(252) 646-7181
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NC 13551
NC
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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