Individual
MRS. KIMBERLY (KIM) FOWLER KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
334 MONROE DR, PIEDMONT, SC 29673-9731
(864) 918-7265
(864) 295-3297
Mailing address
334 MONROE DR, PIEDMONT, SC 29673-9731
(864) 918-7265
(863) 295-3297
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1907
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
SC
Enumeration date
10/23/2018
Last updated
10/23/2018
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