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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY MALLICK FILLMAN, P.A.

Active

KIMBERLY MALLICK FILLMAN, P.A. is a Medical Physician Assistant healthcare provider located in BOLIVIA, North Carolina. NPI 1578563235 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BOLIVIA, NC

Registration Details

NPI Number
1578563235
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2005 (20.873352776877 yrs)
Last Updated
Jul 15, 2020
Licenses
101827 (NC)
101827 (NC)

Practice Information

Address
240 HOSPITAL DR NE
BOLIVIA, NC, 284228346
Browse NC providers · Browse ZIP 28422
Phone
8434975929
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.