| Doctor Name: | ROBERT E KIMPTON |
| NPI Number: | 1407916133 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 23645 |
| Business Practice Address: | 5046 Highway 17 Bypass Suite 100 Myrtle Beach, SC - 29588 |
| Business Phone Number: | 8438396162 |
| Business Fax Number: | 8438396164 |
| Mailing Address: | 5046 Highway 17 Bypass, Suite 100 MYRTLE BEACH |
| State: | SC |
| Postal Code: | 29588 |
| Phone Number: | 8438396162 |
| Fax Number: | 8438396164 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 10/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23645 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |