Individual
ILSE KIDDY ALUMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
Mailing address
1000 CLYBURN PL, AIKEN, SC 29801-4193
(803) 380-7000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20119
SC
Other
Enumeration date
10/13/2006
Last updated
03/02/2022
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