Basic Information
| Provider Information | |||||||||
| NPI: | 1265756878 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLOWERS | ||||||||
| FirstName: | KIMBERLY | ||||||||
| MiddleName: | MICHELLE | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7409 OLD CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281469191 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048558397 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 614 N MAIN ST | ||||||||
| Address2: | |||||||||
| City: | SALISBURY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281443674 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046362900 | ||||||||
| FaxNumber: | 7046372800 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2010 | ||||||||
| LastUpdateDate: | 03/25/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 224384 | NC | Y | Nursing Service Providers | Registered Nurse |
No ID Information.