KDS CONSULTANTS LLC NPI 1366940959

NPI Information

NPI: 1366940959
Provider Name: KDS CONSULTANTS, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC
ZIP 29707
Phone: (803) 285-1082
Get Directions

KDS CONSULTANTS, LLC is a family medicine in Indian Land, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KDS CONSULTANTS, LLC NPI is 1366940959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8351 CHARLOTTE HWY STE 200
INDIAN LAND, SC
ZIP 29707
Phone: (803) 285-1082
Fax: (803) 283-4329

The provider's authorized official is Keith D Shealy .
The authorized official title is President and has the following contact phone number (803) 285-1082.

The enumeration date for this NPI number is 1/29/2018 and was last updated on 10/10/2023.

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	207Q00000X	Family Medicine		15011	SOUTH CAROLINA	No
2	207Q00000X	Family Medicine		10924	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	TL3972	MEDICAID	SOUTH CAROLINA
2	109242	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: 5/5/2024

NPI Synchronization or Removal

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