Individual
KIMBERLY LATASHIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Mailing address
117 GLENSHIRE DR, COLUMBIA, SC 29203-2445
(803) 361-2451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27245
SC
Other
Enumeration date
04/03/2023
Last updated
08/30/2023
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