Individual
KYLE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 510, COLUMBIA, SC 29203-6854
(803) 360-6099
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
21917
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5554
—
SC
Enumeration date
07/30/2018
Last updated
03/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us