Individual
DR. KIMBERLY MAINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2180 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5798
(843) 556-8886
(843) 556-8850
Mailing address
2180 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5798
(843) 556-8886
(843) 556-8850
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101236394
VA
207N00000X
Dermatology Physician
Primary
44686
CO
207N00000X
Dermatology Physician
83112
SC
Other
Enumeration date
07/26/2005
Last updated
09/14/2020
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