Individual
KIMBERLY K BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2376 CYPRESS CIRCLE, STE 200, CONWAY, SC 29526-8994
(843) 347-7216
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
23342
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028240
—
WA
05
—
MW0271
—
SC
Enumeration date
01/29/2013
Last updated
12/26/2023
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