Individual
KIMBERLY ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1170 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9695
(828) 464-1172
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257678
NC
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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