person
Kimberley Koontz, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Charlotte, North Carolina
NPI 1114560794

Kimberley Koontz is a Psychiatric/Mental Health Nurse Practitioner based in Waxhaw, NC and is specialized in Psychiatric/Mental Health. Kimberley Koontz practices in Charlotte, NC and has the professional credentials of PMHNP. The NPI Number for Kimberley Koontz is 1114560794 and holds a License No. 5012464 (North Carolina).

The current practice location address for Kimberley Koontz is 3303 Latrobe Dr, Charlotte, NC and can be reached out via phone at 704-362-2663.

Location: 3303 Latrobe Dr, Charlotte, NC, 28173-7831
person
Provider Profile Details
NPI Number
1114560794
Provider Name
Kimberley Koontz
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3303 Latrobe Dr, Charlotte, NC, 28173-7831
Phone Number
704-362-2663
Fax Number
Provider Enumeration Date
10/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3303 Latrobe Dr
City
State
Zip
28211-4851
Phone Number
704-362-2663
Fax Number
person
Provider Business Mailing Address Details
Address
3303 Latrobe Dr
City
State
Zip
28211-4851
Phone Number
704-362-2663
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
5012464 (North Carolina)
Definition
Definition to come...
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