Search › North Carolina › 225100000X
Kim Idol, PT
NPI 1407001761 · on the registry since 2008
Practice
- Address
- 630 Whittier Ave
High Point, NC 27262 - Phone
- (336) 870-2143
- Organisation at this address
- Providence Place, Llc
Providence Place Assisted Living, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina