Individual
DR. KIMBERLY D RAKES-STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
(843) 897-7757
(843) 897-7877
Mailing address
134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
(843) 217-1695
(844) 299-7575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17943
SC
208M00000X
Hospitalist Physician
17943
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226954
—
SC
Enumeration date
05/31/2005
Last updated
12/05/2025
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