Healthcare Provider Details

I. General information

NPI: 1376458331
Provider Name (Legal Business Name): KHAMSIN LYNNE KORE MEADOWS CRNA, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 DUKE MEDICINE CIR
DURHAM NC
27710-2000
US

IV. Provider business mailing address

20 DUKE MEDICINE CIR
DURHAM NC
27710-2000
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-6646
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number354924
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: