Rakes-Stephens, Kimberly D

Rakes-Stephens, Kimberly D is an individual health care provider with primary practice located at 134 Jungle Rd , Edisto Island SC 29438-3005. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Rakes-Stephens, Kimberly D can be contacted via phone (843) 897-7757.

Contact Information

Primary practice address
134 Jungle Rd Edisto Island SC 29438-3005
Phone: (843) 897-7757
Fax: (843) 897-7877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17943 South Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 17943 South Carolina

Profile Details

NPI number 1457354888
LBN Legal business name Rakes-Stephens, Kimberly D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457354888 NPPES
South Carolina MEDICAID 226954

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