Smith, Kevin Anthony

Smith, Kevin Anthony is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Smith, Kevin Anthony can be contacted via phone (843) 724-2988.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Fax: (843) 805-6277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 32373 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32373 South Carolina

Profile Details

NPI number 1093852642
LBN Legal business name Smith, Kevin Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Dec 8th, 2023 - about 2 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 1093852642 NPPES
South Carolina MEDICAID 1093852642
South Carolina Other P00853366

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