Edwards, Kimberly Reynolds
Edwards, Kimberly Reynolds is an individual health care provider with primary practice located at 6781 Parker Farm Dr Suite 300, Wilmington NC 28405-3161. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Edwards, Kimberly Reynolds can be contacted via phone (910) 763-1555.Contact Information
Primary practice address
6781 Parker Farm Dr Suite 300
Wilmington NC 28405-3161
Phone: (910) 763-1555
Fax: (910) 762-4726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 200300028 | North Carolina |
Profile Details
| NPI number | 1922069723 |
|---|---|
| LBN Legal business name | Edwards, Kimberly Reynolds |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jun 10th, 2013 - about 11 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922069723 | NPPES |
| North Carolina | Other | 13363 | BCBS STATE |
| North Carolina | Other | 13363 | BCBS STATE |
| North Carolina | Other | 13363 | BCBS STATE |
| North Carolina | Other | P00103572 | BCBS STATE |
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