Mrs Kimberly Thomas Gaughan, BSN - Registered Nurse in Myrtle Beach, SC

Mrs Kimberly Thomas Gaughan, BSN is a Registered Nurse based in Myrtle Beach, South Carolina. Mrs Kimberly Thomas Gaughan is licensed to practice in South Carolina (license number 39545) and her current practice location is 700 21st Ave N, Myrtle Beach, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 409-5287.

NPI number for Mrs Kimberly Thomas Gaughan is 1194355701 and her current mailing address is 2203 Woodlawn Dr, Conway, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194355701.

Contact Information

Mrs Kimberly Thomas Gaughan, BSN
700 21st Ave N,
Myrtle Beach, SC 29577-7400
(843) 409-5287
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kimberly Thomas Gaughan
GenderFemale
SpecialityRegistered Nurse
Location700 21st Ave N, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194355701
  • Provider Enumeration Date: 01/22/2020
  • Last Update Date: 01/22/2020

Medical Identifiers

Medical identifiers for Mrs Kimberly Thomas Gaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194355701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 39545 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Thomas Gaughan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly Thomas Gaughan, BSN
2203 Woodlawn Dr,
Conway, SC 29526-7707

Ph: (843) 409-5287
Mrs Kimberly Thomas Gaughan, BSN
700 21st Ave N,
Myrtle Beach, SC 29577-7400

Ph: (843) 409-5287

Reviews and Comments


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Paul A Repik, RN
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