Kimble, Mark G

Kimble, Mark G is an individual health care provider with primary practice located at 518 North Ave , Rock Hill SC 29732-3384. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kimble, Mark G can be contacted via phone (803) 327-6155.

Contact Information

Primary practice address
518 North Ave Rock Hill SC 29732-3384
Phone: (803) 327-6155
Fax: (803) 327-5062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 933 South Carolina

Profile Details

NPI number 1023189438
LBN Legal business name Kimble, Mark G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Aug 6th, 2010 - about 14 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 1023189438 NPPES
South Carolina Other 7392163 AETNA
South Carolina MEDICAID GCH122 AETNA
South Carolina MEDICAID CH0933 AETNA

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