Individual
MR. FRED MICHAEL KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W MEETING ST, STE A, LANCASTER, SC 29720-2380
(803) 286-4666
(803) 283-1951
Mailing address
201 W MEETING ST STE A, STE A, LANCASTER, SC 29720-2380
(803) 286-4666
(803) 285-1585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10647
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106478
—
SC
01
—
AK1353731
OTHER
—
Enumeration date
07/08/2005
Last updated
03/07/2023
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