O Brien, Kevin

O Brien, Kevin is an individual health care provider with primary practice located at 107 Omni Dr Ste B, Seneca SC 29672-9448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. O Brien, Kevin can be contacted via phone (864) 885-7881.

Contact Information

Primary practice address
107 Omni Dr Ste B Seneca SC 29672-9448
Fax: (864) 885-7885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 1063 South Carolina

Profile Details

NPI number 1588636138
LBN Legal business name O Brien, Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 6th, 2017 - 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 1588636138 NPPES
South Carolina MEDICAID GP4697
South Carolina Other AA1887
South Carolina Other E500
South Carolina MEDICAID 010632

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