Powell, Kimberly Dawn
Powell, Kimberly Dawn is an individual health care provider with primary practice located at 721 Chesterfield Hwy , Cheraw SC 29520-7002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Powell, Kimberly Dawn can be contacted via phone (843) 320-5200.Contact Information
Primary practice address
721 Chesterfield Hwy
Cheraw SC 29520-7002
Phone: (843) 320-5200
Fax: (843) 320-5002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21885 | South Carolina |
Profile Details
| NPI number | 1205326477 |
|---|---|
| LBN Legal business name | Powell, Kimberly Dawn |
| Credentials | APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2018 |
| Last updated | Feb 13th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205326477 | NPPES |
| South Carolina | MEDICAID | NP5844 |
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