DR. KIMBERLY M DEVOLLD


Address: 2051 Charlie Hall Blvd, Charleston, SC 29414
Phone: 8435732535

DR. KIMBERLY M DEVOLLD (NPI# 1225028806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225028806
Entity Type Individual
Full Name DR. KIMBERLY M DEVOLLD
Other Name KIMBERLY S ROHALEY
Credential M.D.
Practice Address 2051 Charlie Hall Blvd
Charleston
SC 29414
Mailing Address 2321 Wards Rd
Lynchburg
VA 24502-2101
Practice Telephone 8435732535
Practice Fax Number 4357325348
Mailing Telephone 4345822273
Mailing Fax Number 4345821363
Enumeration Date 2005-10-25
Last Update Date 2018-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 173000000X Legal Medicine ME86723 FL Other Service Providers
Y 208000000X Pediatrics MD40634 SC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 0101241911 VA Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 35094744 OH Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 43204 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 2029012 05
SC 406340 05
FL 266627800 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
9165 University Blvd Ste 100, North Charleston, SC 294067133 8432844255
1952 Long Grove Dr Ste 202, Mount Pleasant, SC 294647579 8435732535
776 Daniel Ellis Dr Ste A, Charleston, SC 294123094 8437958100

Office Location

Street Address 2051 CHARLIE HALL BLVD
City CHARLESTON
State SC
Zip Code 29414

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235792425 Matthew Robert Horton Counselor 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2019-04-15
1083110019 Coastal Pediatric Associates, P.a. Psychologist 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2018-03-30
1962851030 Kacey Erin O'malley Pediatrics 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2016-06-08
1912389628 Lauren Clifford Lucas Pediatrics 2051 Charlie Hall Blvd, Charleston, SC 29414 2015-06-18
1629459920 Rodrigo Garcia De La Torre Astudillo Pediatrics 2051 Charlie Hall Blvd, Charleston, SC 29414 2015-06-11
1487034880 Kathleen Mary Ronin Pediatrics 2051 Charlie Hall Blvd, Charleston, SC 29414 2015-06-02
1902208010 Rachel Werth Mcdowell Nurse Practitioner 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2014-09-19
1851791925 Joan Tufts Registered Nurse 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2014-08-26
1174955660 Sarah French Conrad Registered Nurse 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2013-08-06
1003258864 Kristen Slagel Garrett Nurse Practitioner 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 2013-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902444508 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 3865 West Ashley Circle, Charleston, SC 29414 2019-12-13
1215440169 Christine Michelle Delcioppo Nurse Practitioner 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 2017-11-14
1871013508 Carolyn Sorenson Assistant Behavior Analyst 2218 Hunter Creek Dr, Charleston, SC 29414 2017-06-23
1205387354 Rachel Klatt Physical Therapist 2230 Ashley Crossing Dr., Charleston, SC 29414 2016-10-24
1295286912 Mary M Butler Physical Therapy Assistant 2230 Ashley Crossing Drive, Charleston, SC 29414 2016-10-18
1295104982 Charlene Barbot Registered Nurse 3741 Clover St, Charleston, SC 29414 2015-09-23
1720467525 Sasha M. Perez Family Medicine 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 2015-05-26
1104226240 Angela Mcinvale Counselor 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 2014-08-26
1659790087 Catherine Jefferson Vanderwerker Physical Therapist 3019 Saintsbury Cove Dr, Charleston, SC 29414 2014-04-14
1104266741 Elizabeth A Burguieres Psychiatry & Neurology Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 2013-06-27
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023632809 Caitlin Marie Stoll Pediatrics 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414-6168 2020-06-08
1134743420 Elizabeth Alden Mccants Pediatrics 125 Doughty St Ste 520d, Charleston, SC 29403-5736 2020-06-02
1770127516 Nicole Danielle Clendenin Pediatrics 314 Goff Mountain Rd Ste 16, Charleston, WV 25313-6600 2019-11-05
1871059238 Aminah Fraser- Abdur Rahim Pediatrics 1373 W Lenevar Dr, Charleston, SC 29407-5148 2019-02-11
1720518384 Nicholas Matthew Cundiff Pediatrics 135 Rutledge Ave Dept Of, Charleston, SC 29425-8903 2017-06-15
1649632225 Collin Dubick Pediatrics 1118 Sea Eagle Watch, Charleston, SC 29412-8249 2016-03-23
1417338781 Heather Michelle Greene Pediatrics 169 Ashlet Avenue, Room 202 Main Hospital Msc 333, Charleston, SC 29425 2015-06-12
1780098160 Matthew John Saia Pediatrics 2124 Telfair Way, Charleston, SC 29412-2370 2014-06-13
1770922601 Lauren Simpson Tipton Pediatrics 1243 Savannah Hwy Ste B, Charleston, SC 29407-7817 2013-06-25
1467747527 Pratikkumar Patel Pediatrics 830 Pennsylvania Ave Ste 401, Charleston, WV 25302-3390 2011-06-16
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Competitor

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City CHARLESTON
Zip Code 29414

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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