Gross, Kyle
Gross, Kyle is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 510 , Columbia SC 29203-6854. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Gross, Kyle can be contacted via phone (803) 360-6099.Contact Information
Primary practice address
3 Richland Medical Park Dr Ste 510
Columbia SC 29203-6854
Phone: (803) 360-6099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 21917 | South Carolina |
Profile Details
| NPI number | 1033697362 |
|---|---|
| LBN Legal business name | Gross, Kyle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2018 |
| Last updated | Mar 19th, 2019 - about 7 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 | 1033697362 | NPPES |
| South Carolina | MEDICAID | NP5554 |
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