Heller, Kenneth Bryan
Heller, Kenneth Bryan is an individual health care provider with primary practice located at 113 Wildwood Dr , Belton SC 29627-9687. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Heller, Kenneth Bryan can be contacted via phone (864) 940-9701.Contact Information
Primary practice address
113 Wildwood Dr
Belton SC 29627-9687
Phone: (864) 940-9701
Fax: (864) 338-8760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 09331 | South Carolina |
Profile Details
| NPI number | 1477588655 |
|---|---|
| LBN Legal business name | Heller, Kenneth Bryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 23rd, 2007 - about 19 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 | 1477588655 | NPPES |
| South Carolina | MEDICAID | 093311 |
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