Kimberly Trammell, AGNP-BC
Kimberly Trammell, AGNP-BC is a Nurse Practitioner in Chapin, South Carolina. Qualified in 2015, 11 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 11
- Licensed in
- SC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
2101 Dutch Fork RdChapin, SC 29036-7576
Phone: (910) 742-9243
Fax: (888) 746-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 19579 (SC) |
|---|---|
| Gerontology Nurse Practitioner | Taxonomy 363LG0600X · Licence 19579 (SC) |
Record details
| NPI number | 1144603648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 1, 2015 |
| Last updated in NPPES | February 10, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lifesource Of North Carolina — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |