King, Kimberly (Kim) Fowler

King, Kimberly (Kim) Fowler is an sole proprietor health care provider with primary practice located at 334 Monroe Dr , Piedmont SC 29673-9731. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. King, Kimberly (Kim) Fowler can be contacted via phone (864) 918-7265.

Contact Information

Primary practice address
334 Monroe Dr Piedmont SC 29673-9731
Phone: (864) 918-7265
Fax: (864) 295-3297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 1907 South Carolina

Profile Details

NPI number 1518433028
LBN Legal business name King, Kimberly (Kim) Fowler
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2018
Last updated Oct 23rd, 2018 - about 7 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 1518433028 NPPES
South Carolina MEDICAID 05

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