Kimberly Thomas Gaughan, BSN
Registered Nurse in Myrtle Beach, SC. Individual provider (NPI-1).
NPI number1194355701
StatusActive
Last updated in NPPESJan 22, 2020
Details
- NPI
- 1194355701
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kimberly Thomas Gaughan
- Credential
- BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2020
- Certification date
- Jan 22, 2020
- Last updated
- Jan 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 39545 | SC | Yes |
Practice location
700 21st Ave NMyrtle Beach, SC 29577-7400
Phone 843-409-5287
Mailing address
2203 Woodlawn DrConway, SC 29526-7707
Phone 843-409-5287
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All 44 Registered Nurse providers in Myrtle Beach · All 3,545 providers in Myrtle Beach
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