KIMBERLEY KOONTZ

CHARLOTTE, NC
NPI1114560794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  5012464)
Enumeration Date2019-10-25
Last Update Date2019-10-29
Business Address
KIMBERLEY KOONTZ PMHNP
3303 LATROBE DR
CHARLOTTE, NC 28211-4851
Phone number: 704-362-2663
Mailing Address
KIMBERLEY KOONTZ PMHNP
8604 ROYSTER RUN
WAXHAW, NC 28173-7831
Phone number: 609-558-3888
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