Individual
KIMBERLY BETH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1000 BLYTHE BLVD, CMC ANNEX 1ST FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-0720
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
50008084
NC
Other
Enumeration date
10/09/2015
Last updated
11/17/2023
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