Individual
KIMBERLY SHORES WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
341 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 873-1100
(704) 873-0954
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009615
NC
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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