Watford, Kyle Ernest
Watford, Kyle Ernest is an individual health care provider with primary practice located at 10630 Clemson Blvd Ste 100 , Seneca SC 29678-4545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Trauma is his primary health care specialty. Watford, Kyle Ernest can be contacted via phone (864) 482-6000.Contact Information
Primary practice address
10630 Clemson Blvd Ste 100
Seneca SC 29678-4545
Phone: (864) 482-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 20275 | South Carolina |
Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 20275 | South Carolina |
Profile Details
NPI number | 1225000573 |
---|---|
LBN Legal business name | Watford, Kyle Ernest |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2006 |
Last updated | Aug 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225000573 | NPPES |
South Carolina | Other | 055 | BCBS |
South Carolina | Other | 206186 | BCBS |
South Carolina | Other | 7574373 | BCBS |
South Carolina | MEDICAID | 202756 | BCBS |
South Carolina | Other | 5909037 | BCBS |
South Carolina | Other | 8000830 | BCBS |
South Carolina | Other | 20072627 | BCBS |
South Carolina | Other | H640278552 | BCBS |
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