Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly D Willis, ACNPRN

Individual provider Nurse Practitioner · NPI 1558496448

Kimberly D Willis, ACNPRN is a Nurse Practitioner in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007

Practice location Address checks out

166 Stoneridge Dr
Columbia, SC 29210
Phone: (803) 461-3000
Fax: (803) 461-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2015 (SC)

Record details

NPI number1558496448
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPRN
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESJuly 8, 2016

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