Individual
JOHN KIBET KIRUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 CENTRAL PARK LN STE A, SENECA, SC 29678-1156
(864) 844-9432
(864) 844-9430
Mailing address
430 KINGSTON TRACE RD, COLUMBIA, SC 29229-7691
(218) 576-9867
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12749
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30234
SC
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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