Kimberly Marie Brosamer, P.A.
Physician Assistant, Medical in Charlotte, NC. Individual provider (NPI-1).
NPI number1285643601
StatusActive
Last updated in NPPESMar 18, 2011
Details
- NPI
- 1285643601
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Marie Brosamer
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Mar 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 103966 | NC | Yes |
Practice location
7810 Providence RdSuite 102
Charlotte, NC 28226-2954
Phone 704-543-6636 · Fax 704-752-4185
Mailing address
7810 Providence RdSuite 102
Charlotte, NC 28226-2954
Phone 704-543-6636 · Fax 704-752-4185
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