1982971602 NPI number — MRS. KIMBERLY OAKLEY MABE PHARMD

Table of content: YAFEI REN MD (NPI 1053499871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982971602 NPI number — MRS. KIMBERLY OAKLEY MABE PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MABE
Provider First Name:
KIMBERLY
Provider Middle Name:
OAKLEY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982971602
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
102 NEW MARKET PLAZA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-548-7504
Provider Business Mailing Address Fax Number:
336-548-4301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 NEW MARKET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27025-1539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-548-7504
Provider Business Practice Location Address Fax Number:
336-548-4301
Provider Enumeration Date:
11/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  14463 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0795841 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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