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Kimberley Baucom

NPI 1952016560 · on the registry since 2023 · sole proprietor

Practice

Address
6834 Melody Ln
Charlotte, NC 28215
Phone
(704) 712-9856

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
171400000X
374J00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-18

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