Greenwald, Kimberly Marie
Greenwald, Kimberly Marie is an individual health care provider with primary practice located at 4420 Lake Boone Trl , Raleigh NC 27607-7505. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Greenwald, Kimberly Marie can be contacted via phone (919) 784-3034.Contact Information
Primary practice address
4420 Lake Boone Trl
Raleigh NC 27607-7505
Phone: (919) 784-3034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 36717 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 36717 | North Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36717 | North Carolina |
Profile Details
| NPI number | 1891806634 |
|---|---|
| LBN Legal business name | Greenwald, Kimberly Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 30th, 2021 - about 4 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 | 1891806634 | NPPES |
| North Carolina | Other | 57298 | MEDCOST |
| North Carolina | Other | 132EN | MEDCOST |
| North Carolina | Other | 6724459 | MEDCOST |
| North Carolina | Other | 050047832 | MEDCOST |
| North Carolina | MEDICAID | 89132EN | MEDCOST |
| North Carolina | Other | 20283 | MEDCOST |
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