Brooks, Kimberly Dawn

Brooks, Kimberly Dawn is an individual health care provider with primary practice located at 209 Three Bridges Rd , Greenville SC 29611-7549. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brooks, Kimberly Dawn can be contacted via phone (864) 522-5500.

Contact Information

Primary practice address
209 Three Bridges Rd Greenville SC 29611-7549
Phone: (864) 522-5500
Fax: (864) 241-9207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19500 South Carolina

Profile Details

NPI number 1780064923
LBN Legal business name Brooks, Kimberly Dawn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2015
Last updated May 19th, 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 1780064923 NPPES
South Carolina MEDICAID NP3624

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