Provider Demographics
NPI:1629013909
Name:KIGHT, JOYCE ZAINE (LPT)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:ZAINE
Last Name:KIGHT
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 472956
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28247-2956
Mailing Address - Country:US
Mailing Address - Phone:704-541-1191
Mailing Address - Fax:704-541-1192
Practice Address - Street 1:8025 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4499
Practice Address - Country:US
Practice Address - Phone:704-541-1191
Practice Address - Fax:704-541-1192
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22512251X0800X
SC21292251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0786POtherBLUE CROSS
NC0786POtherBLUE CROSS