Kimbrell, Melissa Blair

Kimbrell, Melissa Blair is an individual health care provider with primary practice located at 575 Ingles Dr , Inman SC 29349-8314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kimbrell, Melissa Blair can be contacted via phone (864) 342-4090.

Contact Information

Primary practice address
575 Ingles Dr Inman SC 29349-8314
Phone: (864) 342-4090
Fax: (864) 578-7098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19733 South Carolina

Profile Details

NPI number 1790153203
LBN Legal business name Kimbrell, Melissa Blair
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Feb 27th, 2020 - about 5 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 1790153203 NPPES
South Carolina MEDICAID NP3586
South Carolina Other SC70476067
South Carolina Other SC70476084
South Carolina Other SC7047J577

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