Kimbrell, Amanda

Kimbrell, Amanda is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Kimbrell, Amanda can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 240492 South Carolina

Profile Details

NPI number 1114336591
LBN Legal business name Kimbrell, Amanda
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2014
Last updated Aug 11th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114336591 NPPES
South Carolina MEDICAID 1760596480

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