Individual provider · Type 1 NPI

Kimberly Thomas Gaughan, BSN

Registered Nurse · Myrtle Beach, SC

NPI number 1194355701 Active

Practice location

700 21st Ave N
Myrtle Beach, SC 29577-7400

Call (843) 409-5287 Map

Mailing address

2203 Woodlawn Dr
Conway, SC 29526-7707

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	39545 (SC)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1194355701

Kimberly Thomas Gaughan, BSN's National Provider Identifier is 1194355701, issued on Jan 22, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 22, 2020.