Provider Demographics
NPI:1326125840
Name:RAGSDALE, KIMBERLY RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:RENEE
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1926 COTTON GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-5722
Mailing Address - Country:US
Mailing Address - Phone:336-242-1228
Mailing Address - Fax:336-242-1393
Practice Address - Street 1:1926 COTTON GROVE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-5722
Practice Address - Country:US
Practice Address - Phone:336-242-1228
Practice Address - Fax:336-242-1393
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200200060207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89134K2Medicaid
NC89134K2Medicaid
NC2299761AMedicare PIN