Provider Demographics
NPI:1013278514
Name:ABSHIRE, KIMBERLY W (BSN/RN/IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:W
Last Name:ABSHIRE
Suffix:
Gender:F
Credentials:BSN/RN/IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7233 THOMPSON MILL RD
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-9081
Mailing Address - Country:US
Mailing Address - Phone:919-971-8937
Mailing Address - Fax:919-556-0450
Practice Address - Street 1:7233 THOMPSON MILL RD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-9081
Practice Address - Country:US
Practice Address - Phone:919-971-8937
Practice Address - Fax:919-556-0450
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC079304163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant