Kimberly Jean Lis in Charlotte - Family Medicine
Kimberly Jean Lis - NPI 1235104498
Kimberly Jean Lis is a Family Medicine in Charlotte, North Carolina. Kimberly Jean Lis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kimberly Jean Lis is 1235104498. The last update date is 2020-10-28.
Kimberly Jean Lis's current location address is Po Box 751803, Charlotte, North Carolina. You can contact this provider via phone number 3367120700 and fax number 3367120876. The mailing address for Kimberly Jean Lis is Po Box 751803, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Jean Lis |
|---|---|
| Address | Po Box 751803, Charlotte, North Carolina |
| Phone Number | 3367120700 |
| Fax Number | 3367120876 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235104498 |
|---|---|
| Provider Enumeration Date | 2006-02-21 |
| Last Updated Date | 2020-10-28 |
Provider Mailing Address Detail
| Address | Po Box 751803 |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 282751803 |
| Phone Number | 3367120700 |
| Fax Number | 3367120876 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2005-00855 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 896579A | NC | -- | |
| 5901233 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kimberly Jean Lis by the Centers for Medicare & Medicaid Services?
The Kimberly Jean Lis has been issued the NPI (National Provider Identifier) 1235104498. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kimberly Jean Lis is physically located?
The Kimberly Jean Lis is physically situated at the following address: Po Box 751803, Charlotte, NC, 282751803.
What is Kimberly Jean Lis's area of expertise and its corresponding taxonomy classification?
The Kimberly Jean Lis's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235104498 to Kimberly Jean Lis?
The Centers for Medicare & Medicaid Services originally issued the 1235104498 to Kimberly Jean Lis on 2006-02-21.
As of what date were the details pertaining to Kimberly Jean Lis last refreshed?
The information related to the Kimberly Jean Lis, including its address, specialty, and other relevant details, was last updated on 2020-10-28.