Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 201711 | NC |
NPI | 1043621972 |
---|---|
Provider Name | Dr. Kimberly Sue Jones |
First Address | Raleigh, NC 27609-8201 |
Second Address | Chapel Hill, NC 27514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 02/06/2020 |