Individual
DR. KIMBERLY GAIL KYKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HEALTHY WAY STE 1200, ANDERSON, SC 29621-7916
(864) 512-6140
(864) 512-6149
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-7257
(864) 654-7672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31408
SC
207Q00000X
Family Medicine Physician
31408
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
31408
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314083
—
SC
Enumeration date
01/20/2009
Last updated
02/22/2023
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