Individual
KAREN A KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 GATEWAY CORPORATE BLVD STE 220, COLUMBIA, SC 29203-9785
(803) 865-4928
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(803) 865-4928
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
RN293476L
PA
363L00000X
Nurse Practitioner
Primary
30310
SC
363L00000X
Nurse Practitioner
SP009522
PA
Other
Enumeration date
09/04/2007
Last updated
10/15/2025
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