Smoak, Kimberly Gunter
Smoak, Kimberly Gunter is an individual health care provider with primary practice located at 301 Palmetto Park Blvd , Lexington SC 29072-7872. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Smoak, Kimberly Gunter can be contacted via phone (803) 996-1500.Contact Information
Primary practice address
301 Palmetto Park Blvd
Lexington SC 29072-7872
Phone: (803) 996-1500
Fax: (803) 996-1510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1194068098 |
|---|---|
| LBN Legal business name | Smoak, Kimberly Gunter |
| Credentials | CPSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Mar 29th, 2013 - about 13 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 | 1194068098 | NPPES |
| South Carolina | MEDICAID | 322842 |
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