Individual
KEVIN J NUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 COLONIAL COMMONS CT, LANCASTER, SC 29720-2200
(803) 285-4333
(803) 285-3472
Mailing address
1240 COLONIAL COMMONS CT, LANCASTER, SC 29720-2200
(803) 285-4333
(803) 285-3472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2007-00829
NC
207W00000X
Ophthalmology Physician
239443
NY
207W00000X
Ophthalmology Physician
Primary
29793
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894699000
—
MN
Enumeration date
03/21/2006
Last updated
04/01/2022
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