Individual
KYLE EMBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425-8905
(843) 792-9705
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39721
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
LL39721
SC
Other
Enumeration date
06/17/2016
Last updated
07/03/2019
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