Individual
MICHELE L KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(910) 392-2525
(910) 392-2827
Mailing address
CHERRY HOSPITAL, 1401 WEST ASH STREET, GOLDSBORO, NC 27530-1078
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209008596
IL
363L00000X
Nurse Practitioner
Primary
5006333
NC
363LA2200X
Adult Health Nurse Practitioner
209008596
IL
363LF0000X
Family Nurse Practitioner
5006333
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209008596
ILLINOIS LICENSE NUMBER
IL
01
—
5006333
NC LICENSE NUMBER
NC
Enumeration date
02/16/2012
Last updated
10/08/2020
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