Individual
MS. KIMBERLY SPIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
130 BAKER STREET, BLACKVILLE, SC 29817-2304
(803) 284-1045
(803) 284-3094
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20284
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4088
—
SC
01
—
SC9073
MEDICARE
SC
Enumeration date
07/28/2016
Last updated
01/11/2024
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