Individual
KIMBERLY MARIE CARNAVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-8008
(803) 434-3800
(803) 376-5885
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
242568
SC
363LF0000X
Family Nurse Practitioner
Primary
26122
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8562
—
SC
Enumeration date
01/21/2022
Last updated
10/30/2025
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