Individual
KAREN ODESSA KINGSOLVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4117 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2811
NC
Other
Enumeration date
05/03/2007
Last updated
10/20/2008
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