Provider Demographics
NPI:1609643816
Name:STOVESAND, KIMBER RIA
Entity Type:Individual
Prefix:MRS
First Name:KIMBER
Middle Name:RIA
Last Name:STOVESAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EAST CAROLINA UNIVERSITY COLLEGE OF NURSING
Mailing Address - Street 2:600 MOYE BLVD
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834
Mailing Address - Country:US
Mailing Address - Phone:252-744-6478
Mailing Address - Fax:
Practice Address - Street 1:EAST CAROLINA UNIVERSITY COLLEGE OF NURSING
Practice Address - Street 2:600 MOYE BLVD
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program