Provider Demographics
NPI:1538596622
Name:CAGGIANO, KIMBERLY (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:
Last Name:CAGGIANO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CB 7206 BURNETT WOMACK BLDG
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4008 BURNETT WOMACK BUILDING CB #7206
Practice Address - Street 2:UNC DEPARTMENT OF SURGERY DIVISION OF TRAUMA AND CC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7228
Practice Address - Country:US
Practice Address - Phone:919-966-4389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCAG0713050363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care