Bean, Kimberly A

Bean, Kimberly A is an individual health care provider with primary practice located at 122 Okatie Center Blvd N Ste 310 , Okatie SC 29909-3782. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bean, Kimberly A can be contacted via phone (843) 706-8690.

Contact Information

Primary practice address
122 Okatie Center Blvd N Ste 310 Okatie SC 29909-3782
Phone: (843) 706-8690
Fax: (844) 295-9802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4230 South Carolina

Profile Details

NPI number 1255656070
LBN Legal business name Bean, Kimberly A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Jun 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255656070 NPPES
Other SCB8689125 MEDICARE PTAN
Other P01510934 MEDICARE PTAN
MEDICAID NP1618 MEDICARE PTAN

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