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Individual

DR. KIM CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
(361) 939-6511
Mailing address
205 S ENTERPRIZE PKWY, CORPUS CHRISTI, TX 78405-4118
(361) 939-6510
(361) 939-6511

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
498
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
081A1
BCBS OF NC
NC
05
5902315
NC
01
P00634269
RAILROAD MEDICARE
NC
Enumeration date
10/06/2005
Last updated
09/10/2015
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