Kmonicek, Joseph Michael

Kmonicek, Joseph Michael is an individual health care provider with primary practice located at 877 W Faris Rd Ste B, Greenville SC 29605-4289. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kmonicek, Joseph Michael can be contacted via phone (864) 455-6900.

Contact Information

Primary practice address
877 W Faris Rd Ste B Greenville SC 29605-4289
Phone: (864) 455-6900
Fax: (864) 255-5619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 13881 South Carolina

Profile Details

NPI number 1154387827
LBN Legal business name Kmonicek, Joseph Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Mar 9th, 2016 - about 8 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 1154387827 NPPES
South Carolina MEDICAID 138817

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