Individual
KIMBERLY BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 S BOUNDARY AVE, NEW ELLENTON, SC 29809-3206
(803) 652-8170
(803) 652-8173
Mailing address
505 S BOUNDARY AVE, NEW ELLENTON, SC 29809-3206
(803) 652-8170
(803) 652-8173
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
99782
SC
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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