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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457354888 | NPPES |
| South Carolina | MEDICAID | 226954 |
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