Kage, Kelly A
Kage, Kelly A is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 200 , Columbia SC 29203-6882. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kage, Kelly A can be contacted via phone (803) 296-7846.Contact Information
Primary practice address
14 Richland Medical Park Dr Ste 200
Columbia SC 29203-6882
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2381 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2381 | South Carolina |
Profile Details
| NPI number | 1104209691 |
|---|---|
| LBN Legal business name | Kage, Kelly A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2015 |
| Last updated | Jun 10th, 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 | 1104209691 | NPPES |
| South Carolina | MEDICAID | 2262PA |
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