KEVIN P MCREDMOND MD NPI 1487621959

NPI Information

NPI: 1487621959
Provider Name: KEVIN P MCREDMOND, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Address:
7 MEDICAL PARK RD
SUITE 203
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-3533
Get Directions

Kevin P Mcredmond, MD is a pediatric hematology-oncology pediatrics in Columbia, SC. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Kevin P Mcredmond, MD NPI is 1487621959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7 MEDICAL PARK RD
SUITE 203
COLUMBIA, SC
ZIP 29203-873
Phone: (803) 434-3533
Fax: (803) 434-3094

The enumeration date for this NPI number is 3/3/2006 and was last updated on 7/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	15441	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B9060615769	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
2	B90606	MEDICARE UPIN	SOUTH CAROLINA
3	TL4573	MEDICAID	SOUTH CAROLINA
4	B906065771	MEDICARE PIN	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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