Individual
MS. KIMBERLY KARLA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
(843) 777-8705
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2095
SC
367500000X
Certified Registered Nurse Anesthetist
APN2095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1310
—
SC
Enumeration date
03/25/2006
Last updated
11/16/2016
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