Devolld, Kimberly M
Devolld, Kimberly M is an individual health care provider with primary practice located at 2754 Maybank Hwy Ste B , Johns Island SC 29455-4809. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Devolld, Kimberly M can be contacted via phone (843) 996-4908.Contact Information
Primary practice address
2754 Maybank Hwy Ste B
Johns Island SC 29455-4809
Phone: (843) 996-4908
Fax: (843) 962-5450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | ME86723 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35094744 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101241911 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 43204 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD40634 | South Carolina |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2080B0002X | 0101241911 | Virginia |
| Allopathic & Osteopathic Physicians / Obesity Medicine | 2080B0002X | MD40634 | South Carolina |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101241911 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD40634 | South Carolina |
Profile Details
| NPI number | 1225028806 |
|---|---|
| LBN Legal business name | Devolld, Kimberly M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Jul 15th, 2022 - about 2 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 | 1225028806 | NPPES |
| Ohio | MEDICAID | 2029012 | |
| Ohio | MEDICAID | 266627800 | |
| Ohio | MEDICAID | 406340 |
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