Individual
KIMBERLY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(803) 360-1039
Mailing address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(803) 360-1039
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88850
SC
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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