Organization
KINGS MOUNTAIN PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE L COYNE (CFO)
(704) 487-3802
Entity
Organization
Contact information
Practice address
201 EAST GROVER STREET, SHELBY, NC 28150
(704) 476-7411
(704) 476-7416
Mailing address
201 EAST GROVER STREET, SHELBY, NC 28150
(704) 476-7411
(704) 476-7416
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907690
—
NC
Enumeration date
04/20/2007
Last updated
08/22/2020
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