Kimberly Elaine Brown (NPI# 1023057213, PAC ID# 3072543834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1023057213 |
| PAC ID by PECOS | 3072543834 |
| Professional Enrollment ID | I20180726002174 |
| Full Name | Kimberly Elaine Brown |
| Organization Legal Name | LIFESOURCE OF NORTH CAROLINA |
| Address |
1915 Ebenezer Rd Rock Hill SC 29732-1013 |
| Phone Number | 8033668155 |
| Gender | F |
| Credential | CP |
| Graduation Year | 2002 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 7416132428 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 | 8033668155 | LIFESOURCE OF NORTH CAROLINA |
| Organization Legal Name | LIFESOURCE OF NORTH CAROLINA |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfred John Howard | Clinical Social Worker | Lifesource of North Carolina | 1901 Libbie Ave, Richmond, VA 23226-1808 |
| Crystal Dawn Coleman | Nurse Practitioner | Lifesource of North Carolina | 390 Park Ave, Hazard, KY 41701-9548 |
| Nicole S Wright | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Cir Nw, Rome, GA 30165-1307 |
| Charles Whetsell | Psychologist, Clinical | Lifesource of North Carolina | 1424 Montclair Rd, Irondale, AL 35210-2208 |
| Judith G Benson | Clinical Nurse Specialist | Lifesource of North Carolina | 1611 Constiturion Blvd, Rock Hill, SC 29732-3047 |
| Kevin C Settles | Psychologist, Clinical | Lifesource of North Carolina | 1678 Montgomery Hwy, Vestavia Hills, AL 35216-4914 |
| Nakeya Johnson Gore | Clinical Social Worker | Lifesource of North Carolina | 1345 Redmond Rd, Rome, GA 30345 |
| Andrea B Hunt | Psychologist, Clinical | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| July Morbeth | Physician Assistant | Lifesource of North Carolina | 2006 Pelham Rd, Greenville, SC 29615-4005 |
| Virginia Lyon | Clinical Social Worker | Lifesource of North Carolina | 3205 Randall Pkwy, Suite 105, Wilmington, NC 28403-2565 |
| Street Address |
1915 EBENEZER RD |
| City | ROCK HILL |
| State | SC |
| Zip | 29732-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah F Coleman | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Manjit K. Kaura | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Adrian Novit | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Tasha M Williams | Clinical Social Worker | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Barry N. Feldman | Clinical Social Worker | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Denise Ann Rallis-frutos | Nurse Practitioner | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Jenissa Dawn Chintella | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Sonja Lynn Middleton | Clinical Social Worker | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Vivian Breslin | Nurse Practitioner | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Gina Marie Love | Psychologist, Clinical | Lifesource of North Carolina | 1915 Ebenezer Rd, Rock Hill, SC 29732-1013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Carl Cedarholm | Interventional Cardiology | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Crystal Rachelle Vaglia | Nurse Practitioner | Carolinas Physicians Network Inc | 1656 Riverchase Blvd, Suite 2500, Rock Hill, SC 29732-0269 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Hyonah Kim | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Nathan Patrick Fergus | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Rickin Shah | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Brian Alan Perry | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Kelly Clifford | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| James Essenberg | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Richard D Redvanly | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Find all physicians in zip 29732 | |||
| City | ROCK HILL |
| Zip Code | 29732 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ROCK HILL + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kimberly Elaine Brown.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.