Fitzgerald, Kim E

Fitzgerald, Kim E is an individual health care provider with primary practice located at 1120 Grove Rd Suite B, Greenville SC 29605-4656. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Fitzgerald, Kim E can be contacted via phone (864) 455-8897.

Contact Information

Primary practice address
1120 Grove Rd Suite B Greenville SC 29605-4656
Phone: (864) 455-8897
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 374 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 374 South Carolina

Profile Details

NPI number 1679514640
LBN Legal business name Fitzgerald, Kim E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 20th, 2021 - about 3 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 1679514640 NPPES
South Carolina MEDICAID MW0090

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