Provider Demographics
NPI:1295116994
Name:EDWARDS, KAYCE LYNN NEWBERN (MD)
Entity type:Individual
Prefix:
First Name:KAYCE
Middle Name:LYNN NEWBERN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAYCE
Other - Middle Name:LYNN
Other - Last Name:NEWBERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:209 THREE BRIDGES RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-7549
Practice Address - Country:US
Practice Address - Phone:864-522-5500
Practice Address - Fax:864-241-9207
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC82241207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology