Provider Demographics
NPI:1083495527
Name:FLOYD, KIMBERLY MULLINS (RN)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:MULLINS
Last Name:FLOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4857 NC 181
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-7577
Mailing Address - Country:US
Mailing Address - Phone:828-514-8225
Mailing Address - Fax:
Practice Address - Street 1:4857 NC 181
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-7577
Practice Address - Country:US
Practice Address - Phone:828-514-8225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC7063374U00000X
NC372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide