Individual
KIMBERLY LEE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 W WASHINGTON ST, GREENVILLE, SC 29601-1037
(864) 214-1600
Mailing address
318 TAYLOREST RD, LAURENS, SC 29360-5118
(864) 871-3497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228171
SC
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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