Kelly, Desmond Peyton

Kelly, Desmond Peyton is an individual health care provider with primary practice located at 200 Patewood Dr Suite A200, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Kelly, Desmond Peyton can be contacted via phone (864) 454-5115.

Contact Information

Primary practice address
200 Patewood Dr Suite A200 Greenville SC 29615-3593
Phone: (864) 454-5115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 17873 South Carolina

Profile Details

NPI number 1295787844
LBN Legal business name Kelly, Desmond Peyton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Feb 28th, 2018 - about 7 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 1295787844 NPPES
South Carolina Other 576007863094 BCBS OF SC
South Carolina Other 1276609 BCBS OF SC
South Carolina MEDICAID 178738 BCBS OF SC
South Carolina Other 576007863037 BCBS OF SC

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