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ILSE KIDDY ALUMBAUGH FNP-C, APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144310905

Individual Registrant:
 ILSE KIDDY ALUMBAUGH FNP-C, APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 BRIDGESTONE PKWY  GRANITEVILLE, SC 29829 US
Tel: 803-232-2211  Fax: 330-572-6791

Contact information for business:
1 BRIDGESTONE PKWY  GRANITEVILLE, SC 29829-3167 US
Tel: 803-232-2211  Fax: 330-572-6791

Registration Information:
NPI: 1144310905
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SC20119

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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