Provider Demographics
NPI:1043611734
Name:ORR, KIMBERLY G (OD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:G
Last Name:ORR
Suffix:
Gender:
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6208 BUCKHORN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-3124
Mailing Address - Country:US
Mailing Address - Phone:919-414-6938
Mailing Address - Fax:336-434-6680
Practice Address - Street 1:1577 B NEW GARDENS RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2798
Practice Address - Country:US
Practice Address - Phone:336-553-0800
Practice Address - Fax:336-553-0353
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCNC2391152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist