Individual
MRS. KIMBERLY ANN UPDEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTT
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
4104 NASHVILLE DR, FAYETTEVILLE, NC 28306-9278
(910) 424-7282
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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