Individual
KIMBERLY VALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 E WOOD ST, SUITE 401, SPARTANBURG, SC 29303
(864) 560-6851
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19653
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3353
—
SC
01
—
SC65803365
MEDICARE
SC
Enumeration date
07/27/2015
Last updated
01/11/2021
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