Individual
KIMBERLY SCHOENECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1848
(601) 376-1894
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
(800) 394-4445
(706) 396-3252
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R858155
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07788896
—
MS
Enumeration date
10/19/2006
Last updated
07/26/2017
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