Doctor Name: | KIMBERLY A KAY |
NPI Number: | 1043328008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA1230 |
Business Practice Address: | 1300 Hospital Dr Ste 120 Mount Pleasant, SC - 294643261 |
Business Phone Number: | 8438498418 |
Business Fax Number: | 8438498419 |
Mailing Address: | 1300 Hospital Dr, Ste 120 MOUNT PLEASANT |
State: | SC |
Postal Code: | 294643261 |
Phone Number: | 8438498418 |
Fax Number: | 8438498419 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA1230 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |