Individual
MRS. KIMBERLY ANN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 LANCASTER AVE, GREER, SC 29650-1235
(864) 663-0896
Mailing address
405 LANCASTER AVE, GREER, SC 29650-1235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5998
SC
Other
Enumeration date
11/30/2006
Last updated
12/29/2025
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