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NPI Code Detail

MEDICARE: KIMBERLY COOK APRN

MEDICARE:   KIMBERLY  COOK  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner27931SC
2363L00000XNurse Practitioner257931SC
3363LF0000XFamily Nurse Practitioner95034310CA
4363LF0000XFamily Nurse PractitionerGAA-NP00187GA

General Provider Information

NPI Number : 1568243863
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY COOK APRN
Provider Business Mailing Address
First Line : SC HOUSE CALLS INC.
Second Line : 111 DOCTORS CIR.
City : COLUMBIA
State : SC
Zip : 29203
Country : US
Telephone Number : 800-491-0909
Fax Number :
Provider Business Practice Location Address
First Line : SC HOUSE CALLS INC.
Second Line : 111 DOCTORS CIR.
City : COLUMBIA
State : SC
Zip : 29203
Country : US
Telephone Number : 800-491-0909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 03/11/2026

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Directions to “ KIMBERLY COOK APRN” Practice Location

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