Provider Demographics
NPI:1407815921
Name:RAMSDELL, KIMBERLY G (MD)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:G
Last Name:RAMSDELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 PEMBERTON HILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4278
Mailing Address - Country:US
Mailing Address - Phone:919-303-2255
Mailing Address - Fax:919-303-2293
Practice Address - Street 1:1031 PEMBERTON HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4278
Practice Address - Country:US
Practice Address - Phone:919-303-2255
Practice Address - Fax:919-303-2293
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9800254208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH80853Medicare UPIN