Individual
KIMBERLY STITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2 MEDICAL PARK RD STE 107, COLUMBIA, SC 29203-6839
(803) 434-4480
(803) 434-3340
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
24270
SC
367A00000X
Advanced Practice Midwife
576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0282
—
SC
01
—
Q693893365
MEDICARE PIN
SC
Enumeration date
08/27/2015
Last updated
05/12/2025
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