Individual
MRS. KIMBERLY W REISENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Mailing address
325 BROAD ST, SUITE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 774-5400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
638
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109PA
—
SC
Enumeration date
03/08/2007
Last updated
02/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us