Individual
KINGSLEY MINOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
68 HOSPITAL RD, SYLVA, NC 28779-2722
(828) 586-7000
Mailing address
PO BOX 1390, CULLOWHEE, NC 28723-1390
(828) 586-7000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3809
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3809
STATE LICENSE
NC
Enumeration date
10/12/2006
Last updated
07/08/2007
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