Kymberly Kloefkorn, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5006958 Issued in NC

Practice address

1601 Abbey PL
Building 2 Suite 200
Charlotte, NC 28209-3835

Phone

(704) 512-2980

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1841604667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "BUILDING 2 SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOEFKORN",
        "first_name": "KYMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Klinck, MMSC, PA-C
• Deborah Jean Klinedinst, PT
• Nadya A Klinetob, PHD
• Mary Jo Klingel, LCSW
• Robert Klink
• Ryan P Klomparens, PT
• Jason Keith Klopotowski, MD
• Erica Diane Klose, NNP
• Rachel Ann Kloss, LLMSW
• Cynthia Ann Klotz, PHARMD. , CPP

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.