Most Relevant Information
Provider Data
| NPI Number: | 1003453093 |
| Provider Name: | SOMMER LANE KITCHIN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 22823 |
Most Important Dates
| Enumeration Date: | 12/09/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
1053 CENTER ST
WEST COLUMBIA
SC
291696749
Practice Location Phone/Fax
| Phone: | 8004910909 |
| Fax: |
Provider Mailing Location
270 CROCKER RD
SPARTANBURG
SC
293074901
Provider Mailing Phone/Fax
| Phone: | 8642162002 |
| Fax: |