Luoma, Kimberly

Luoma, Kimberly is an individual health care provider with primary practice located at 1400 Old Tamah Rd , Irmo SC 29063-9799. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Luoma, Kimberly can be contacted via phone (803) 476-3329.

Contact Information

Primary practice address
1400 Old Tamah Rd Irmo SC 29063-9799
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 83230 South Carolina

Profile Details

NPI number 1417391384
LBN Legal business name Luoma, Kimberly
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2013
Last updated Apr 23rd, 2013 - about 12 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 1417391384 NPPES
South Carolina MEDICAID 83230

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