person
Mr. Kalub Gerrard Shipman SR.
Home Health Aide in Greensboro, North Carolina
NPI 1669529970

Kalub Gerrard Shipman SR. is a Home Health Aide based in Greensboro, NC. Kalub Gerrard Shipman SR. practices in Greensboro, NC. The NPI Number for Kalub Gerrard Shipman SR. is 1669529970 and holds a License No. HC1786 (North Carolina).

The current practice location address for Kalub Gerrard Shipman SR. is 1719 Bristol Rd, Greensboro, NC and can be reached out via phone at 336-327-7976 and via fax at 336-271-2155. You can also correspond with Kalub Gerrard Shipman SR. through the mailing address at 1719 BRISTOL RD, GREENSBORO, NC - 27406-3854 (mailing address contact number: 336-327-7976).

Location: 1719 Bristol Rd, Greensboro, NC, 27406-3854
person
Provider Profile Details
NPI Number
1669529970
Provider Name
Kalub Gerrard Shipman SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1719 Bristol Rd, Greensboro, NC, 27406-3854
Phone Number
336-327-7976
Fax Number
336-271-2155
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409116 05 NC
6600648 05 NC
institution
Provider Business Practice Location Address Details
Address
1719 Bristol Rd
City
State
Zip
27406-3854
Phone Number
336-327-7976
Fax Number
336-271-2155
person
Provider Business Mailing Address Details
Address
1719 Bristol Rd
City
State
Zip
27406-3854
Phone Number
336-327-7976
Fax Number
336-271-2155
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
HC1786 (North Carolina)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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