Kimbrell, Fred Michael
Kimbrell, Fred Michael is an individual health care provider with primary practice located at 201 W Meeting St Ste A, Lancaster SC 29720-2380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kimbrell, Fred Michael can be contacted via phone (803) 286-4666.Contact Information
Primary practice address
201 W Meeting St Ste A
Lancaster SC 29720-2380
Phone: (803) 286-4666
Fax: (803) 283-1951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10647 | South Carolina |
Profile Details
| NPI number | 1518965193 |
|---|---|
| LBN Legal business name | Kimbrell, Fred Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518965193 | NPPES |
| South Carolina | MEDICAID | 106478 | |
| South Carolina | Other | AK1353731 |
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