Individual
JOSEPH MICHAEL KMONICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD, STE B, GREENVILLE, SC 29605-4289
(864) 455-6900
(864) 255-5619
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13881
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138817
—
SC
Enumeration date
04/21/2006
Last updated
03/09/2016
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