James, Kevin Malcolm

James, Kevin Malcolm is an sole proprietor health care provider with primary practice located at 1108 Calhoun St , Newberry SC 29108-3445. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. James, Kevin Malcolm can be contacted via phone (803) 276-0940.

Contact Information

Primary practice address
1108 Calhoun St Newberry SC 29108-3445
Phone: (803) 276-0940
Fax: (803) 276-0941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4106 South Carolina

Profile Details

NPI number 1003973009
LBN Legal business name James, Kevin Malcolm
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Apr 13th, 2012 - about 14 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 1003973009 NPPES
South Carolina MEDICAID ZX4106

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