Individual
DR. STEPHEN HARRIS KEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 271-7761
(864) 235-2045
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21254
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
21254
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19336
LICENSE
MS
01
—
21254
LICENSE
SC
01
—
BK5073123
PHARMACY
MS
01
—
P00622802
RAILROAD MEDICARE
MS
05
—
T54562
—
SC
Enumeration date
06/25/2006
Last updated
10/24/2025
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