Individual
KIMBERLY ANN BROMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1 CREEKVIEW CT, SUITE B, GREENVILLE, SC 29615-4800
(864) 286-9966
(864) 286-9933
Mailing address
1 CREEKVIEW CT, SUITE B, GREENVILLE, SC 29615
(864) 286-9966
(864) 286-9933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1682
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7649611
AETNA
SC
Enumeration date
07/03/2006
Last updated
07/08/2007
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