Individual
KIMBER LEANNE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST # GC5114, AUGUSTA, GA 30912-0004
(706) 721-2371
Mailing address
737 BEACHWOOD COVE DR, TEGA CAY, SC 29708-8222
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DGD.11161.GD
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/20/2025
Last updated
07/07/2025
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