Individual
KIZMIT BUSBY FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 MAXWELL ST, ORANGEBURG, SC 29115-5118
(803) 290-8652
Mailing address
1704 MAXWELL ST, ORANGEBURG, SC 29115-5118
(803) 290-8652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/01/2023
Last updated
05/13/2026
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