Individual
KEDESSE YEMANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 807-6449
Mailing address
5211 HOLBERT CIR, CHARLOTTE, NC 28269-0940
(704) 807-6449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020000794
NC
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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