Individual
KIMBERLY DAWN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
721 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 320-5200
(843) 320-5002
Mailing address
805 PAMPLICO HWY, FLORENCE, SC 29505-6050
(843) 674-6306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21885
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5844
—
SC
Enumeration date
05/14/2018
Last updated
02/13/2020
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