Tracy, Kevin Patrick

Tracy, Kevin Patrick is an individual health care provider with primary practice located at 1770 Skylyn Dr , Spartanburg SC 29307-1045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Tracy, Kevin Patrick can be contacted via phone (864) 582-7892.

Contact Information

Primary practice address
1770 Skylyn Dr Spartanburg SC 29307-1045
Phone: (864) 582-7892
Fax: (864) 582-1582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 14815 South Carolina

Profile Details

NPI number 1215993159
LBN Legal business name Tracy, Kevin Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 3rd, 2008 - about 17 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 1215993159 NPPES
South Carolina Other P00386917 MEDICARE RAILROAD
South Carolina MEDICAID 148156 MEDICARE RAILROAD

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