Mims, Kimberly Nicole
Mims, Kimberly Nicole is an individual health care provider with primary practice located at 3030 Randolph Rd Ste 200, Charlotte NC 28211-1368. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Mims, Kimberly Nicole can be contacted via phone (704) 302-8555.Contact Information
Primary practice address
3030 Randolph Rd Ste 200
Charlotte NC 28211-1368
Phone: (704) 302-8555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2011-01211 | North Carolina |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 2011-01211 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 2011-01211 | North Carolina |
Profile Details
| NPI number | 1639359276 |
|---|---|
| LBN Legal business name | Mims, Kimberly Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Jul 15th, 2024 - about 2 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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