Doctor Name: | MRS. KIMBERLY C HOUSTON |
NPI Number: | 1003130121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP-PC |
License Number: | 5004661 |
Business Practice Address: | 1002 W 3rd St Siler City, NC - 273443042 |
Business Phone Number: | 9197422209 |
Business Fax Number: | 9197421310 |
Mailing Address: | 1002 W 3rd St, SILER CITY |
State: | NC |
Postal Code: | 273443042 |
Phone Number: | 9197422209 |
Fax Number: | 9197421310 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 03/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 5004661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |