Healthcare Provider Details

I. General information

NPI: 1790547115
Provider Name (Legal Business Name): KARA ANNETTE FORE-FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA ANNETTE FORE

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 STATE FARM RD
BOONE NC
28607-4994
US

IV. Provider business mailing address

1200 STATE FARM RD
BOONE NC
28607-4994
US

V. Phone/Fax

Practice location:
  • Phone: 828-262-4332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5020380
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: