Dr Kimberly Rae King, AUD | |
640 6th Ave S, North Myrtle Beach, SC 29582-3310 | |
(843) 663-4327 | |
(843) 663-3277 |
Full Name | Dr Kimberly Rae King |
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Gender | Female |
Speciality | Audiologist |
Location | 640 6th Ave S, North Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720057011 | NPI | - | NPPES |
Q325400281 | Other | SC | BCBS OF SC |
87726 | Other | SC | UNITEDHEALTHCARE |
SA0405 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 3045 (South Carolina) | Primary |
Provider Name | Coastal Carolina Otolaryngology Associates, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497717086 PECOS PAC ID: 4981768645 Enrollment ID: O20090126000382 |
Mailing Address | Practice Location Address |
---|---|
Dr Kimberly Rae King, AUD 640 6th Ave S, North Myrtle Beach, SC 29582-3310 Ph: (843) 663-4327 | Dr Kimberly Rae King, AUD 640 6th Ave S, North Myrtle Beach, SC 29582-3310 Ph: (843) 663-4327 |
Tommi Michelle Gray Stanley, M.S. CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582 Phone: 843-732-6090 Fax: 843-491-3573 | |
Grand Strand Hearing Audiologist Medicare: Medicare Enrolled Practice Location: 1016 2nd Ave N, Suite 102, North Myrtle Beach, SC 29582 Phone: 843-732-6090 Fax: 843-491-3573 |