Demonbreun, Kahlil Ahmadi

Demonbreun, Kahlil Ahmadi is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is his primary health care specialty. Demonbreun, Kahlil Ahmadi can be contacted via phone (803) 776-4000.

Contact Information

Primary practice address
6439 Garners Ferry Rd Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN 2202 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X APRN 2202 South Carolina

Profile Details

NPI number 1124036728
LBN Legal business name Demonbreun, Kahlil Ahmadi
Credentials DNP, WHNP-BC, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 24th, 2023 - about 2 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 1124036728 NPPES
South Carolina MEDICAID NPO649

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