Individual provider · NPI-1
Kimya Katrese Justice, RN
Registered Nurse, General Practice · Aiken, SC
NPI number1194502245
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1194502245
- Entity type
- Individual (NPI-1)
- Name
- Kimya Katrese Justice
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 238684 | SC | Yes |
Practice location
1000 Clyburn PlAiken, SC 29801-4193
Phone 803-380-7000 · Fax 803-502-8491
Mailing address
1000 Clyburn PlAiken, SC 29801-4193
Phone 803-380-7000 · Fax 803-502-8491
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