Shore, Kimberly Joanne

Shore, Kimberly Joanne is an individual health care provider with primary practice located at 1118 Cornelia Rd , Anderson SC 29621-3317. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Shore, Kimberly Joanne can be contacted via phone (864) 225-8321.

Contact Information

Primary practice address
1118 Cornelia Rd Anderson SC 29621-3317
Phone: (864) 225-8321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X SC4041 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4041 South Carolina

Profile Details

NPI number 1942277603
LBN Legal business name Shore, Kimberly Joanne
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Oct 28th, 2022 - about 4 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 1942277603 NPPES
South Carolina MEDICAID TH1071
South Carolina MEDICAID GP4273

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