Individual
MR. MATTHEW EARL KYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HERLONG AVE S STE A, ROCK HILL, SC 29732-1182
(803) 328-1864
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00694
NC
363A00000X
Physician Assistant
1262
SC
363AM0700X
Medical Physician Assistant
1262
SC
363AS0400X
Surgical Physician Assistant
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003989799
—
NC
05
—
15090PA
—
SC
05
—
8103109
—
NC
Enumeration date
11/17/2006
Last updated
04/27/2021
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