Individual
KIMBERLY SUE BREGENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 310, COLUMBIA, SC 29203-6862
(803) 434-8323
(803) 434-8326
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 695-6734
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22126
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5438
—
SC
Enumeration date
08/30/2018
Last updated
11/21/2025
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