Carson, Kevin Wright

Carson, Kevin Wright is an individual health care provider with primary practice located at 160 Academy Ave , Greenwood SC 29646-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Carson, Kevin Wright can be contacted via phone (864) 223-8090.

Contact Information

Primary practice address
160 Academy Ave Greenwood SC 29646-3808
Phone: (864) 223-8090
Fax: (864) 223-4026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18545 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 049879 Georgia

Profile Details

NPI number 1609880715
LBN Legal business name Carson, Kevin Wright
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609880715 NPPES
South Carolina Other 9337 GROUP MEDICARE
South Carolina Other GP5280 GROUP MEDICARE
South Carolina MEDICAID 185454 GROUP MEDICARE
South Carolina MEDICAID 1460567 GROUP MEDICARE

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