Healthcare Provider Details

I. General information

NPI: 1649137084
Provider Name (Legal Business Name): KIMBERLY PRICE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

4008 MENDENHALL OAKS PKWY STE 101
HIGH POINT NC
27265-8302
US

IV. Provider business mailing address

4008 MENDENHALL OAKS PKWY STE 101
HIGH POINT NC
27265-8302
US

V. Phone/Fax

Practice location:
  • Phone: 336-510-9834
  • Fax:
Mailing address:
  • Phone: 336-510-9834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA4870
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: