Individual
MRS. KIM AURORA REYNOLDS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2305 EXECUTIVE CIR, 102, GREENVILLE, NC 27834-3749
(252) 439-0700
(252) 439-0900
Mailing address
PO BOX 885, AHOSKIE, NC 27910-0885
(252) 439-0700
(252) 439-0900
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
200301405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200301405
STATE LICENSE
NC
05
—
891350
—
NC
Enumeration date
09/26/2006
Last updated
03/07/2023
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