MRS. Kimberly W Reisenauer, P.A.
NPI #1023149101 in Sumter, South Carolina
Provider Information
- NPI Number
- 1023149101
- Entity Type
- Individual
- Name
- MRS. Kimberly W Reisenauer, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Feb 1, 2012
Practice Location
- Address
- 325 BROAD ST
- Address 2
- SUITE 100
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-4167
- Phone
- (803) 773-5227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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