Doctor Name: | KIMBERLY CLINE |
NPI Number: | 1265579833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 201858 |
Business Practice Address: | 130 1st St W Conover, NC - 286132106 |
Business Phone Number: | 8284663000 |
Business Fax Number: | 8284662338 |
Mailing Address: | 130 1st St W, CONOVER |
State: | NC |
Postal Code: | 286132106 |
Phone Number: | 8284663000 |
Fax Number: | 8284662338 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 05/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |