Kimbrell, Gordon M

Kimbrell, Gordon M is an individual health care provider with primary practice located at 1041 Johnnie Dodds Blvd Suite 14-B, Mt Pleasant SC 29464. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kimbrell, Gordon M can be contacted via phone (843) 884-3888.

Contact Information

Primary practice address
1041 Johnnie Dodds Blvd Suite 14-B Mt Pleasant SC 29464
Phone: (843) 884-3888
Fax: (843) 884-8124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 325 South Carolina

Profile Details

NPI number 1851511430
LBN Legal business name Kimbrell, Gordon M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Jul 8th, 2007 - about 19 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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