Individual
KIMBERLY RENEE AL SOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4365
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011-00941
NC
208M00000X
Hospitalist Physician
Primary
2011-00941
NC
Other
Enumeration date
06/26/2007
Last updated
07/15/2024
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