Individual
MS. KIMBERLY SUE DEREAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 521-1970
Mailing address
4 SALT WIND WAY, HILTON HEAD ISLAND, SC 29926-1954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
868
SC
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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