Individual ProviderEmily D KimNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Reilly Road, Stop A, Fort Bragg, NC 28310-7301(910) 907-7673PECOS EnrollmentBased on the most recent information from CMS, provider Emily D Kim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1861726804Provider TypeIndividualFull NameKim, Emily DCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date9/23/2009Last Updated9/12/2011Contact InformationPractice LocationPractice Address2817 Reilly Road, Stop A, Fort Bragg, NC 28310-7301Phone(910) 907-7673FaxUnlisted FaxMailing LocationMailing Address2817 Reilly Road, Stop A, Fort Bragg, NC 28310-7301Phone(910) 907-7673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5005245North Carolina