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Contact Information

KIMBERLY M DEVOLLD, MD
2754 MAYBANK HWY STE B
JOHNS ISLAND, SC29455-4809
 Phone: 843-996-4908
 Fax: 843-962-5450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Legal Medicine

173000000X
 

Obesity Medicine

2080B0002X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY M DEVOLLD · (Female)

NPI Number 1225028806
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME86723
  • OH License # 35094744
  • SC License # MD40634
  • TN License # 43204
  • VA License # 0101241911
  • FL Medicaid 266627800
  • OH Medicaid 2029012
  • SC Medicaid 406340
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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