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Contact Information

KIMBERLY F INGERSOLL, MD
4420 LAKE BOONE TRL
RALEIGH, NC27607-7505
 Phone: 919-784-3063
 Fax: 919-784-3362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KIMBERLY F INGERSOLL · (Female)

NPI Number 1336568385
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2014
Last updated 12/26/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-12209
  • NC License # 2017-02412
Hospital affiliation(s)
  • NEA BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    4800 EAST JOHNSON AVENUE
    JONESBORO, AR 72401
  • ST BERNARDS MEDICAL CENTER - (Acute Care)
    225 E JACKSON
    JONESBORO, AR 72401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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