Willis, Kimberly D
Willis, Kimberly D is an individual health care provider with primary practice located at 166 Stoneridge Drive , Columbia SC 29210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Willis, Kimberly D can be contacted via phone (803) 461-3000.Contact Information
Primary practice address
166 Stoneridge Drive
Columbia SC 29210
Phone: (803) 461-3000
Fax: (803) 461-4903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2015 | South Carolina |
Profile Details
| NPI number | 1558496448 |
|---|---|
| LBN Legal business name | Willis, Kimberly D |
| Credentials | ACNP RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Jul 8th, 2016 - about 10 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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