Kimberly Marie Shanks, FNP
NPI #1366415184 in Shaw Afb, South Carolina
Provider Information
- NPI Number
- 1366415184
- Entity Type
- Individual
- Name
- Kimberly Marie Shanks, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Feb 10, 2006
- Last Updated
- Nov 23, 2007
Practice Location
- Address
- 431 MEADOWLARK RD
- City
- Shaw Afb
- State
- South Carolina
- ZIP Code
- 29152
- Phone
- (803) 895-6592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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