KIM MARIE KINSLEY (NPI# 1679641872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679641872 |
| Entity Type | Individual |
| Full Name | KIM MARIE KINSLEY |
| Credential | D.O. |
| Practice Address |
4000 S Swaim Street Ext Jonesville NC 28642 |
| Mailing Address |
100 Kimel Forest Dr Winston Salem NC 27103-6074 |
| Practice Telephone | 3368356300 |
| Practice Fax Number | 3368354761 |
| Mailing Telephone | 3367161331 |
| Mailing Fax Number | 3367163202 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
2010-01616 | NC | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
2010-01616 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Technology Ln, Mount Airy, NC 27030 | 3367892922 | 3367890856 |
| Street Address |
4000 S SWAIM STREET EXT |
| City | JONESVILLE |
| State | NC |
| Zip Code | 28642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589851 | Nancy Carolyn Truitt | Nurse Practitioner | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2005-12-21 |
| 1447648571 | Cornerstone Health Care Pa | Non-Pharmacy Dispensing Site | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2014-12-23 |
| 1023354156 | Cornerstone Health Care, LLC | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2012-12-18 |
| 1356663587 | Mary Louise Keller | Physician Assistant | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2010-02-15 |
| 1942459839 | Jennifer Dickerson Mcdonald | Nurse Practitioner | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2008-09-16 |
| 1679602130 | William Evan Ballard | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2007-03-02 |
| 1154437598 | Jonesville Family Medical Center, P.a. | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2006-08-21 |
| 1538275912 | Evan A Ballard | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2006-08-21 |
| 1669588901 | Lynn D. Killon | Physician Assistant | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2006-08-21 |
| 1164538567 | Thomas M. Shelburne | Family Medicine | 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851859037 | Tonya Geddes | Nurse Practitioner | 526 Winston Road, Jonesville, NC 28642 | 2019-03-07 |
| 1720513534 | Michael Schmitt | Dentist | 129 N Bridge St, Jonesville, NC 28642 | 2017-04-30 |
| 1396133856 | Stephen Harris | Physician Assistant | 526 Winston Rd, Jonesville, NC 28642 | 2015-01-06 |
| 1023163292 | Carolina Compounding Pharmacy | Pharmacy | 323 Triplett Street, Jonesville, NC 28642 | 2007-01-25 |
| 1184776866 | D-rex Drugs of Jonesville Inc | Pharmacy | 450 Winston Road, Jonesville, NC 28642 | 2007-01-16 |
| 1407962343 | Lam S Chu | Dentist | 129 North Bridge Street, 129 North Bridge Street, Jonesville, NC 28642 | 2006-08-22 |
| 1467773366 | Monty Dean Hiatt | Dentist | 129 North Bridge Street, Jonesville, NC 28642 | 2010-06-15 |
| 1902944101 | D-rex Drugs of Jonesville Inc | Durable Medical Equipment & Medical Supplies | 450 Winston Road, Jonesville, NC 28642 | 2007-02-01 |
| 1871697557 | Eric Joseph Baronciani | Chiropractor | 105 Cherry St, Jonesville, NC 28642-2116 | 2006-09-12 |
| 1386195840 | Envisions of Life LLC | Community Based Residential Treatment Facility, Mental Illness | 449 W Main St, Jonesville, NC 28642-2130 | 2016-10-20 |
| Find all providers in zip 28642 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649765058 | Frances Elizabeth Sutton | Family Medicine | 180 Southwood Dr, Clinton, NC 28328-5002 | 2018-06-27 |
| 1023313855 | Triangle Geriatrics & Palliative Medicine, Pllc | Family Medicine | 1010 Rosehill Ave, Durham, NC 27705-4019 | 2011-01-26 |
| 1316259013 | Graceful Aging,pc | Family Medicine | 2732 Bardolino Dr, Fayetteville, NC 28306-4636 | 2010-07-09 |
| 1306092549 | Coastal Mobile Medical Doctor, Pa | Family Medicine | 203 Stagecoach Dr, Jacksonville, NC 28546-9617 | 2008-08-07 |
| 1457541484 | North River Primecare PC | Family Medicine | 301 Jones Ave, Beaufort, NC 28516-1514 | 2007-07-26 |
| 1790812840 | Geridoc LLC | Family Medicine | 4431 Montibello Dr, Charlotte, NC 28226-7420 | 2007-02-27 |
| 1174658371 | Brunswick Gericare PC | Family Medicine | 602 Thomasboro Road, Calabash, NC 28467-9820 | 2007-02-21 |
| 1952446080 | Jeffrey Dean Martin | Family Medicine | North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 | 2007-02-20 |
| 1912048273 | Shine Thomas | Family Medicine | 1601 Brennar Ave, Salisbury, NC 28144-2515 | 2007-02-09 |
| 1982766283 | Balaji Pabbu | Family Medicine | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | JONESVILLE |
| Zip Code | 28642 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.