King, Keith Tisheem

King, Keith Tisheem is an individual health care provider with primary practice located at 3016 Longtown Commons Dr , Columbia SC 29229-7849. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. King, Keith Tisheem can be contacted via phone (803) 314-0500.

Contact Information

Primary practice address
3016 Longtown Commons Dr Columbia SC 29229-7849
Phone: (803) 314-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 25025 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25025 South Carolina

Profile Details

NPI number 1518533058
LBN Legal business name King, Keith Tisheem
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Apr 19th, 2023 - about 3 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.

Request for update

Popular Providers