Boyter, Kevin D.

Boyter, Kevin D. is an individual health care provider with primary practice located at 3021 Reidville Rd , Spartanburg SC 29301-5643. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Boyter, Kevin D. can be contacted via phone (864) 576-9201.

Contact Information

Primary practice address
3021 Reidville Rd Spartanburg SC 29301-5643
Fax: (864) 576-6584
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2623 South Carolina

Profile Details

NPI number 1326111998
LBN Legal business name Boyter, Kevin D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 18th, 2023 - about 3 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 1326111998 NPPES
South Carolina Other GP4988 MEDICAID GROUP NO.
South Carolina Other P00697693 MEDICAID GROUP NO.

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