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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIMBERLY THOMAS GAUGHAN, BSN

Active Sole Proprietor

MRS. KIMBERLY THOMAS GAUGHAN, BSN is a Registered Nurse healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1194355701 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MYRTLE BEACH, SC

Registration Details

NPI Number
1194355701
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2020 (6.5168806453482 yrs)
Last Updated
Jan 22, 2020
License
39545 (SC)
Sole Proprietor
Yes

Practice Information

Address
700 21ST AVE N
MYRTLE BEACH, SC, 295777400
Browse SC providers · Browse ZIP 29577
Phone
8434095287
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in MYRTLE BEACH, SC

Name Credential NPI
MARLA L JONES RN 1902102031
MRS. LINDA ASHTON RN 1104245547
MRS. JIMMIE WILLIAMS RN 1740609189
SARAH SMITH RN 1912326356
COLLEEN SORTORE RN 1316349566
MICHELLE ANN MENNECKE-SMITH RN 1679970156
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.