Clyburn, Kanitra Shavon

Clyburn, Kanitra Shavon is an individual health care provider with primary practice located at 13640 Steelecroft Pkwy Ste 210, Charlotte NC 28278-7565. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Clyburn, Kanitra Shavon can be contacted via phone (704) 512-6100.

Contact Information

Primary practice address
13640 Steelecroft Pkwy Ste 210 Charlotte NC 28278-7565
Phone: (704) 512-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5007846 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5007846 North Carolina

Profile Details

NPI number 1497131031
LBN Legal business name Clyburn, Kanitra Shavon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2015
Last updated Jul 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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