Provider Demographics
NPI:1760511612
Name:MCDOWELL, KIMBERLY ROGERS (CRT)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:ROGERS
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SANDRA CT
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-5823
Mailing Address - Country:US
Mailing Address - Phone:919-639-2420
Mailing Address - Fax:
Practice Address - Street 1:150 SANDRA CT
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-5823
Practice Address - Country:US
Practice Address - Phone:919-639-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA-4116227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1386XOtherBCBS