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NPI Code Detail

MEDICARE: KINSEY NICOLE LAND

MEDICARE:   KINSEY NICOLE LAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerNC

General Provider Information

NPI Number : 1720822687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINSEY NICOLE LAND
Provider Business Mailing Address
First Line : 502 MARKET ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-4635
Country : US
Telephone Number : 910-202-4326
Fax Number :
Provider Business Practice Location Address
First Line : 111 MACKENAN DR
Second Line :
City : CARY
State : NC
Zip : 27511-7903
Country : US
Telephone Number : 919-371-7903
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 05/07/2026

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Directions to “ KINSEY NICOLE LAND ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.