Provider Demographics
NPI:1053877985
Name:PROPST, KIMBERLY D (RN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:D
Last Name:PROPST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ROBERTS RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-6631
Mailing Address - Country:US
Mailing Address - Phone:828-505-3086
Mailing Address - Fax:828-274-6377
Practice Address - Street 1:6 ROBERTS RD STE 103
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-6631
Practice Address - Country:US
Practice Address - Phone:828-505-3086
Practice Address - Fax:828-274-6377
Is Sole Proprietor?:No
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC260376163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)