Individual
KIMBERLY STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1028 LEE ANN DR NE STE 200, CONCORD, NC 28025-2915
(704) 782-1892
(704) 786-1890
Mailing address
1028 LEE ANN DR NE STE 200, CONCORD, NC 28025-2915
(704) 782-1892
(704) 786-1890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125-061734
IL
207P00000X
Emergency Medicine Physician
Primary
2015-01112
NC
Other
Enumeration date
06/27/2012
Last updated
11/18/2015
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