Depriest, David Kirk
Depriest, David Kirk is an individual health care provider with primary practice located at 135 Commonwealth Dr., Ste. 210 , Greenville SC 29615-4815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Depriest, David Kirk can be contacted via phone (864) 675-4815.Contact Information
Primary practice address
135 Commonwealth Dr., Ste. 210
Greenville SC 29615-4815
Phone: (864) 675-4815
Fax: (864) 675-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 792 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4145 | Oklahoma |
Profile Details
| NPI number | 1285633313 |
|---|---|
| LBN Legal business name | Depriest, David Kirk |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Dec 1st, 2021 - about 5 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 | 1285633313 | NPPES |
| Oklahoma | MEDICAID | 200025290A | |
| Oklahoma | MEDICAID | 007922 | |
| Oklahoma | Other | SC85217628 | |
| Oklahoma | Other | 200025290B | |
| Oklahoma | Other | P01319268 |
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