Sheets, Kristen Pettis
Sheets, Kristen Pettis is an individual health care provider with primary practice located at 701 Grove Rd Fl 5 , Greenville SC 29605-4210. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Sheets, Kristen Pettis can be contacted via phone (864) 455-4411.Contact Information
Primary practice address
701 Grove Rd Fl 5
Greenville SC 29605-4210
Phone: (864) 455-4411
Fax: (864) 455-4411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD39481 | Tennessee |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 39481 | Tennessee |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 23914 | South Carolina |
Profile Details
NPI number | 1093743254 |
---|---|
LBN Legal business name | Sheets, Kristen Pettis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2006 |
Last updated | Jun 28th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093743254 | NPPES |
Tennessee | MEDICAID | 5440613 |
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