Individual
KENNETH FRANK TROFATTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
(864) 455-6444
(864) 455-3095
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23397
SC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
23397
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160057516
RR MEDICARE
SC
05
—
Q18281
—
SC
Enumeration date
05/25/2006
Last updated
04/22/2015
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