MEDICARE: DR. KIMBERLY BETTS SIGMAN MD

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	208000000X	Pediatrics Physician	LP04104	RI
2	208000000X	Pediatrics Physician	2020-00803	NC

General Provider Information

NPI Number	:	1548790017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY BETTS SIGMAN MD

Provider Business Mailing Address
First Line	:	401 IRVING PKWY STE 230
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5301
Country	:	US
Telephone Number	:	919-385-8850
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 IRVING PKWY STE 230
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-5301
Country	:	US
Telephone Number	:	919-385-8850
Fax Number	:

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

Provider Enumeration Date	:	06/15/2017
Last Update Date	:	12/09/2020

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