Individual
KIM AIKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MERRICK DR, ROUND O, SC 29474-4313
(325) 514-2656
Mailing address
405 MERRICK DR, ROUND O, SC 29474-4313
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P30167
SC
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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