Individual
KIMBERLY HUNSUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
907 STARTEK DR, MYRTLE BEACH, SC 29579-4471
(843) 646-8350
(843) 646-8753
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(436) 468-0018
(843) 646-8002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20958
SC
363LF0000X
Family Nurse Practitioner
Primary
20958
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4737
—
SC
Enumeration date
05/16/2017
Last updated
05/26/2022
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