Bregenzer, Kimberly Sue

Bregenzer, Kimberly Sue is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Bregenzer, Kimberly Sue can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 22126 South Carolina

Profile Details

NPI number 1073095683
LBN Legal business name Bregenzer, Kimberly Sue
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Dec 27th, 2018 - about 8 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 1073095683 NPPES
South Carolina MEDICAID NP5438

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