Individual
KIMBERLY DESSOURCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 BLUE RIDGE RD STE 200, RALEIGH, NC 27607-6423
(919) 784-6875
Mailing address
757 WESTWOOD PLZ, ROOM B713 RRUCLA, LOS ANGELES, CA 90095-8358
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
2022-02157
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/17/2014
Last updated
10/11/2022
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