| Kimberly G Kinard Llc | |
|
3555 Harden Street Ext Ste 141 Columbia SC 29203-6894 | |
| (803) 818-3933 | |
| (803) 818-3933 |
| Full Name | Kimberly G Kinard Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3555 Harden Street Ext Ste 141, Columbia, South Carolina |
| Authorized Official Name and Position | Kimberly Gale Kinard (PHYSICIAN) |
| Authorized Official Contact | 8032389201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly G Kinard Llc 4711 Forest Dr Ste 3 #251 Columbia SC 29206-3125 Ph: (803) 818-3933 | Kimberly G Kinard Llc 3555 Harden Street Ext Ste 141 Columbia SC 29203-6894 Ph: (803) 818-3933 |
| NPI Number | 1699349894 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Medicare PECOS PAC ID | 0244685501 |
|---|---|
| Medicare Enrollment ID | O20240102002812 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699349894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kimberly G Kinard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164683199 PECOS PAC ID: 0749431880 Enrollment ID: I20121119000266 |
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