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1992739924
KIMBERLY BIVENS
CHARLOTTE, NC
NPI
1992739924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 300269)
Enumeration Date
2006-07-10
Last Update Date
2021-09-27
Business Address
KIMBERLY BIVENS NP
7800 PROVIDENCE RD STE 203
CHARLOTTE, NC 28226-2952
Phone number: 704-512-2610
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Mailing Address
KIMBERLY BIVENS NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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