Mangum, Kimberly Gray
Mangum, Kimberly Gray is an individual health care provider with primary practice located at 7209 Creedmoor Rd Suite 101, Raleigh NC 27613-1625. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Mangum, Kimberly Gray can be contacted via phone (919) 844-1100.Contact Information
Primary practice address
7209 Creedmoor Rd Suite 101
Raleigh NC 27613-1625
Phone: (919) 844-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 6619 | North Carolina |
Profile Details
| NPI number | 1154518876 |
|---|---|
| LBN Legal business name | Mangum, Kimberly Gray |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Dec 13th, 2007 - about 17 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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