Most Relevant Information
Provider Data
| NPI Number: | 1003327578 |
| Provider Name: | KIMBERLY HARRIS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 067164 |
Most Important Dates
| Enumeration Date: | 10/23/2017 |
| Last Updated: | 10/23/2017 |
Provider Practice Location
524 SIGNAL HILL DRIVE EXT
STATESVILLE
NC
286254391
Practice Location Phone/Fax
| Phone: | 7048711045 |
| Fax: | 7048838638 |
Provider Mailing Location
284 EXECUTIVE PARK DR STE 100
CONCORD
NC
280251833
Provider Mailing Phone/Fax
| Phone: | 7049391100 |
| Fax: | 7049391173 |