OLISA KINGSLEY OBI

CHARLOTTE, NC
NPI1932459245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-04656)
Enumeration Date2012-09-13
Last Update Date2023-12-18
Business Address
OLISA KINGSLEY OBI PA
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-2171
Mailing Address
OLISA KINGSLEY OBI PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: