Shanks, Kimberly Marie

Shanks, Kimberly Marie is an individual health care provider with primary practice located at 431 Meadowlark Rd , Shaw Afb SC 29152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shanks, Kimberly Marie can be contacted via phone (803) 895-6592.

Contact Information

Primary practice address
431 Meadowlark Rd Shaw Afb SC 29152
Phone: (803) 895-6592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 676752 Texas

Profile Details

NPI number 1366415184
LBN Legal business name Shanks, Kimberly Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 23rd, 2007 - about 17 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.

Request for update

Popular Providers