Individual
DR. KIMBI GLENN MARENAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
655 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 608-0158
Mailing address
655 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7165
(843) 608-0158
(877) 385-2198
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4764
SC
363LF0000X
Family Nurse Practitioner
Primary
21265
SC
Other
Enumeration date
08/30/2017
Last updated
08/04/2023
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