Individual
MS. KIMBERLEY M BAUCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6834 MELODY LN, CHARLOTTE, NC 28215-7786
(704) 712-9856
Mailing address
6834 MELODY LN, CHARLOTTE, NC 28215-7786
(704) 712-9856
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
—
NC
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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