Individual
KIMBERLY CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
704 GOLD HILL RD, STE 1200, FORT MILL, SC 29715-8906
(704) 667-3380
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21673
SC
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0033005
OH
Other
Enumeration date
02/12/2018
Last updated
03/01/2023
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