DR. KENNETH E KRZYZANIAK MD NPI 1265423479

NPI Information

NPI: 1265423479
Provider Name: DR. KENNETH E KRZYZANIAK, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
823 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 449-1010
Get Directions

DR. Kenneth E Krzyzaniak, MD is an urology in Myrtle Beach, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Kenneth E Krzyzaniak, MD NPI is 1265423479. 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:

823 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-607
Phone: (843) 449-1010
Fax: (843) 497-6171

The NPI 1265423479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 12/29/2016.

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	208800000X	Urology		MD10499	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	Other Provider Identifier Issuer
1	80023039	OTHER	SOUTH CAROLINA	SELECT HEALTH
2	P00360560	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
3	104997	MEDICAID	SOUTH CAROLINA
4	B924368568	MEDICARE PIN	SOUTH CAROLINA
5	B92346	MEDICARE UPIN	SOUTH CAROLINA
6	771701	OTHER	SOUTH CAROLINA	WELLCARE
7	890508M	MEDICAID	NORTH CAROLINA
8	GP454522	MEDICAID	SOUTH CAROLINA
9	340011957	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
10	GP1418	MEDICAID	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: 4/28/2024

NPI Synchronization or Removal

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