Individual
KIMBERLY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1028 RICHLAND AVE E, AIKEN, SC 29801-4760
(803) 648-0172
(803) 648-5062
Mailing address
1028 RICHLAND AVE E, AIKEN, SC 29801-4760
(803) 648-0172
(803) 648-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2563
—
SC
Enumeration date
06/10/2005
Last updated
07/08/2007
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