Individual
KIMBERLY M RENCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 CHURCH ST, WALTERBORO, SC 29488-2901
(843) 549-1558
(843) 549-1454
Mailing address
107 CHURCH ST, WALTERBORO, SC 29488-2901
(843) 549-1558
(843) 549-1454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
257
SC
Other
Enumeration date
06/14/2006
Last updated
01/22/2018
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