KIMBERLY SPAIN

CHARLOTTE, NC
NPI1104312396
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5011041)
Enumeration Date2018-07-10
Last Update Date2021-01-20
Business Address
KIMBERLY SPAIN FNP
14214 BALLANTYNE LAKE RD STE 100
CHARLOTTE, NC 28277-3372
Phone number: 704-667-2650
Mailing Address
KIMBERLY SPAIN FNP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: