Individual
LAWRENCE KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 DREW AVE, FORT MILL, SC 29708-8417
(732) 207-5837
Mailing address
709 DREW AVE, FORT MILL, SC 29708-8417
(732) 207-5837
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
4834PW
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GPN408A70474
ANTHEM
—
Enumeration date
09/28/2021
Last updated
09/28/2021
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