Search › South Carolina › 225100000X
Jordan Kimball
NPI 1417696535 · on the registry since 2022 · sole proprietor
Practice
- Address
- 130 Crisanto Ave Ste A
Fort Mill, SC 29715 - Phone
- (803) 746-4655
- Organisation at this address
- Ivyrehab Focus, Inc.
Specialty Orthopaedics And Sports Medicine, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 3485 Windsor Ave, Dubuque, IA
- 2100 N Davidson St Ste C, Charlotte, NC
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
225100000X - Licence states on file
- IA, NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina