Organization
KIBUN HEALTH NC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP SMITH (DIR.)
(205) 583-6661
Entity
Organization
Contact information
Practice address
4108 PARK RD STE 321, CHARLOTTE, NC 28209-2259
(205) 583-6661
(617) 362-2499
Mailing address
PO BOX 18957, CHARLOTTE, NC 28218-0957
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
10/30/2025
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