Individual
KIMBERLY ANN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(800) 805-6989
Mailing address
944 PINE THICKET ST, MYRTLE BEACH, SC 29577-5339
(843) 685-0174
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45004
SC
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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