Individual
KIMBERLY M. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N FANT ST, EMERGENCY DEPARTMENT, ANDERSON, SC 29621-5708
(864) 512-1335
(864) 512-8575
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TL32571
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30078070
SELECT HEALTH
SC
05
—
325712
—
SC
05
—
551925191A
—
GA
01
—
BP1-0026361
INSTITUTIONAL PERMIT
—
01
—
NPI #
TRICARE
SC
01
—
NPI #/ SSN#
BLUE CROSS
SC
01
—
NPI#
BLUE CHOICE
SC
01
—
P00911156
RAILROAD MEDICARE
SC
Enumeration date
05/31/2007
Last updated
01/17/2013
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