Individual
KIM-MARIE HALL HUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4117 N ROXBORO ST, STE. 100, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0050-03521
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5003521
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q069862
—
TN
Enumeration date
05/21/2008
Last updated
11/22/2022
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