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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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