Individual
KIMBERLY M JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
(843) 777-8705
Mailing address
PO BOX 100551, FLORENCE, SC 29501-0551
(843) 777-8752
(843) 777-8705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN2903
SC
367500000X
Certified Registered Nurse Anesthetist
RN221488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296847
ANTHEM
—
05
—
2170207
—
OH
05
—
AN1503
—
SC
Enumeration date
07/03/2006
Last updated
01/30/2008
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