Kimberly Nicole Holmes

Individual provider Active NPI Driver · Saint Helena Island, SC

NPI 1023714672 · NPPES record last updated Feb 6, 2023

Key facts

NPI
1023714672
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
103 Toomer Rd
Saint Helena Island, SC 29920-6905
Phone
(843) 441-7935
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

103 Toomer Rd
Saint Helena Island, SC 29920-6905

Mailing address

103 Toomer Rd
Saint Helena Island, SC 29920-6905
Phone (843) 441-7935

Other providers in Saint Helena Island, SC

All providers in Saint Helena Island, SC · Driver in South Carolina

Sources for this page

Verify at the official NPI Registry.