Individual
KIMBERLY THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0404
Mailing address
300 MIDTOWN DR, BEAUFORT, SC 29906-5200
(843) 770-0404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
623
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079PA
—
SC
Enumeration date
01/13/2006
Last updated
10/17/2011
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