MEDICARE: SHI KLEM LPA

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
1	103T00000X	Psychologist	2519	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942282108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHI KLEM LPA

Provider Business Mailing Address
First Line	:	1920 TRADD CT
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-6637
Country	:	US
Telephone Number	:	910-343-6890
Fax Number	:	910-332-1233

Provider Business Practice Location Address
First Line	:	1920 TRADD CT
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-6637
Country	:	US
Telephone Number	:	910-343-6890
Fax Number	:	910-332-1233

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497756332 — DR. BENJAMIN BALDWIN
Practice Location Address:

1920 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-343-6890
Practice Fax:

1649252453 — KATHRYN FISHER LPA
Practice Location Address:

1920 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-343-6890
Practice Fax: 370-332-1233

1952371890 — DR. ROBERT MICHAEL CORTINA MD
Practice Location Address:

1912 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-251-3766
Practice Fax: 910-251-3760

1306816244 — BYRON KEITH CARTER PAC
Practice Location Address:

1912 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-251-3766
Practice Fax: 910-251-3760

1619921145 — HUNTER THORACIC SURGERY PA
Practice Location Address:

1912 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-762-7070
Practice Fax: 910-762-9409

1265475537 — RICHARD W. BRICE MSW, LCSW
Practice Location Address:

1920 TRADD CT
WILMINGTON, NC
28401-6637

Practice Phone: 910-343-6890
Practice Fax: 910-332-1233

Directions to “ SHI KLEM LPA” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.