Individual
KIMBERLY N. KENNEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2400 WINCHESTER PL, SUITE 102, SPARTANBURG, SC 29301-1518
(864) 576-7188
(864) 576-8909
Mailing address
2400 WINCHESTER PL, SUITE 102, SPARTANBURG, SC 29301-1518
(864) 576-7188
(864) 576-8909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1619
—
SC
Enumeration date
01/29/2007
Last updated
05/12/2009
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