Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Dessources

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922402064

Kimberly Dessources is a Gynecological Oncology in Raleigh, North Carolina. Graduated from Columbia University College of Physicians and Surgeons in 2014, 12 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
12
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

2901 Blue Ridge Rd Ste 200
Raleigh, NC 27607-6423
Phone: (919) 784-6875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 757 Westwood Plz, Los Angeles, CA 90095-8358 — (310) 825-8307
  • 101 Manning Dr, Chapel Hill, NC 27514-4220 — (984) 974-1000

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 2022-02157 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922402064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGYNECOLOGICAL ONCOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2014 (12 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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