KIMBERLY EDAN NPI 1407599335

NPI Information

NPI: 1407599335
Provider Name: KIMBERLY EDAN
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-7606
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Kimberly Edan is a student in an organized health care education training program in Columbia, SC. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kimberly Edan NPI is 1407599335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 434-7606

The enumeration date for this NPI number is 4/19/2022 and was last updated on 7/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		LL87588	SOUTH CAROLINA	No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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