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
Phone: (843) 724-2988
Fax: (843) 805-6277
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093852642 | NPPES |
South Carolina | MEDICAID | 1093852642 | |
South Carolina | Other | P00853366 |
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