Koschnitzki, Kenneth

Koschnitzki, Kenneth is an individual health care provider with primary practice located at 125 Commonwealth Dr , Greenville SC 29615-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Koschnitzki, Kenneth can be contacted via phone (864) 675-4414.

Contact Information

Primary practice address
125 Commonwealth Dr Greenville SC 29615-4812
Phone: (864) 675-4414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 28286 South Carolina

Profile Details

NPI number 1639131485
LBN Legal business name Koschnitzki, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 4th, 2016 - about 9 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 1639131485 NPPES
South Carolina MEDICAID 282866
South Carolina MEDICAID 849255148A
South Carolina MEDICAID 89065EY

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