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Contact Information

KIMBERLY S WILLIAMSON, CPO, CFM
106 MEDICAL DRIVE
ELIZABETH CITY, NC27909
 Phone: 252-338-3002
 Fax: 252-338-2902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for KIMBERLY S WILLIAMSON · (Female)

NPI # 1699788372
Status Active
Credentials CPO, CFM
Entity Individual
Enumeration date 08/14/2006
Last updated 12/09/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # CPO03814
  • NC Medicaid 7701327
  • VA Medicaid 9190511
  • NC Other 0482P BCBS
  • VA Other 384410 BCBS
Hospital affiliation(s) Not Available
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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