Carpenter, Kimberly M

Carpenter, Kimberly M is an sole proprietor health care provider with primary practice located at 720 N Pine St , Spartanburg SC 29303-3127. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Carpenter, Kimberly M can be contacted via phone (864) 560-5800.

Contact Information

Primary practice address
720 N Pine St Spartanburg SC 29303-3127
Phone: (864) 560-5800
Fax: (864) 592-0586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 70300 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1325 South Carolina

Profile Details

NPI number 1477517928
LBN Legal business name Carpenter, Kimberly M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Sep 8th, 2023 - about last year

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 1477517928 NPPES
South Carolina MEDICAID AN0913

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