KIMBERLY MARIE SHANKS

SHAW AFB, SC
NPI1366415184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  676752)
Enumeration Date2006-02-10
Last Update Date2007-11-23
Business Address
-- KIMBERLY MARIE SHANKS FNP
431 MEADOWLARK RD
SHAW AFB, SC 29152
Phone number: 803-895-6592
Mailing Address
-- KIMBERLY MARIE SHANKS FNP
431 MEADOWLARK RD
SHAW AFB, SC 29152
Phone number: 803-895-6592
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