Individual
MS. VIRGINIA KENNEDY-BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2692
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2692
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
24039
SC
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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