Individual
KIMBERLY ANN PELKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 SQUIRES PT STE A, DUNCAN, SC 29334-8867
(864) 968-5126
(864) 968-5128
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
159913
MT
363A00000X
Physician Assistant
Primary
3650
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
03/05/2019
Last updated
03/04/2026
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