Individual
DR. ROBERT E KIMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 N FRASER ST, GEORGETOWN, SC 29440
(843) 545-7200
Mailing address
1068 N FRASER ST, GEORGETOWN, SC 29440-2849
(843) 545-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23645
SC
208D00000X
General Practice Physician
23645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141965
—
SC
05
—
L36389
—
SC
Enumeration date
12/11/2006
Last updated
10/23/2018
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