Individual provider · Type 1 NPI

Kimberly Bennett Qualls

Family Nurse Practitioner · Columbia, SC

NPI number 1700558202 Active

Practice location

1601 Greene St
Columbia, SC 29208-4001

Call (803) 777-7412 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Nurse Practitioner Primary 363LF0000X26856 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1700558202

Kimberly Bennett Qualls's National Provider Identifier is 1700558202, issued on Oct 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Aug 24, 2023.