Willis, Kimberly D

Willis, Kimberly D is an individual health care provider with primary practice located at 166 Stoneridge Drive , Columbia SC 29210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Willis, Kimberly D can be contacted via phone (803) 461-3000.

Contact Information

Primary practice address
166 Stoneridge Drive Columbia SC 29210
Phone: (803) 461-3000
Fax: (803) 461-4903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2015 South Carolina

Profile Details

NPI number 1558496448
LBN Legal business name Willis, Kimberly D
Credentials ACNP RN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2016 - about 8 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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