Cromer, Kevin L

Cromer, Kevin L is an individual health care provider with primary practice located at 391 Serpentine Dr Ste 400 , Spartanburg SC 29303-3081. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Cromer, Kevin L can be contacted via phone (864) 560-7517.

Contact Information

Primary practice address
391 Serpentine Dr Ste 400 Spartanburg SC 29303-3081
Phone: (864) 560-7517
Fax: (864) 560-7520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 23766 South Carolina

Profile Details

NPI number 1184256174
LBN Legal business name Cromer, Kevin L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2020
Last updated Dec 15th, 2020 - about 6 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 1184256174 NPPES
South Carolina MEDICAID NP6706

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