Stites, Kimberly

Stites, Kimberly is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Stites, Kimberly can be contacted via phone (864) 560-6164.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6164
Fax: (864) 560-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 576 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 24270 South Carolina

Profile Details

NPI number 1104293992
LBN Legal business name Stites, Kimberly
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2015
Last updated Feb 22nd, 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 1104293992 NPPES
South Carolina Other Q693893365 MEDICARE PIN
South Carolina MEDICAID MW0282 MEDICARE PIN

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