Individual
MRS. KIMBERLY SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
571 MEMORIAL AVE N, ALLENDALE, SC 29810-2713
(803) 584-8115
Mailing address
571 MEMORIAL AVE N, ALLENDALE, SC 29810-2713
(803) 584-8115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39342P
SC
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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