Individual
KIM GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 OMNI DR STE A, SENECA, SC 29672-9448
(864) 885-7886
(864) 885-7890
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21
SC
Other
Enumeration date
06/16/2005
Last updated
04/30/2018
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