Active NPI
Karen McKim
- Contractor
- Lillington, NC
National Provider Identifier
1083026330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- LMBT 10478
- Practice address
- 67 Downing CT
Lillington, NC 27546-6319 - Phone
- (910) 574-8493
- NPI assigned
- May 21, 2014
- Last updated
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | LMBT 10478 | NC | Primary |
Addresses
Primary practice location
67 Downing CT
Lillington, NC 27546-6319
Mailing address
67 Downing CT
Lillington, NC 27546-6319
Phone (910) 574-8493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMBT 10478 | NC | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1083026330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 DOWNING CT",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466319",
"telephone_number": "910-574-8493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 DOWNING CT",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275466319",
"telephone_number": "910-574-8493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKIM",
"first_name": "KAREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "LMBT 10478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.