Dr. Kimberly Patricia Brathwaite, M.D.
Pediatrics in South Bend, IN. Individual provider (NPI-1).
NPI number1982916359
StatusActive
Last updated in NPPESJul 14, 2016
Details
- NPI
- 1982916359
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Patricia Brathwaite
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2010
- Last updated
- Jul 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 35121890 | OH | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 01076050A | IN |
Other names
- Kimberly Patricia Carpenter (Former Name)
Practice location
615 N Michigan StNewborn Icu
South Bend, IN 46601-1033
Phone 574-647-1000
Mailing address
615 N Michigan StNewborn Icu
South Bend, IN 46601-1033
Phone 574-647-1000
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