# KIMBERLY STITES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104293992
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | 24270 | SC | Yes |
| 367A00000X | Advanced Practice Midwife | 576 | NC | — |

## Other

- **Enumeration date:** 08/27/2015
- **Last updated:** 05/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MW0282 | — | SC |
| 01 | — | Q693893365 | MEDICARE PIN | SC |