Individual
DR. KEVIN W. KREBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 ATRIUM WAY, SUITE 127, COLUMBIA, SC 29223-6371
(803) 699-4899
(803) 699-4407
Mailing address
115 ATRIUM WAY, SUITE 127, COLUMBIA, SC 29223-6371
(803) 699-4899
(803) 699-4407
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123-45-6789
BEHAVIORAL HEALTH
SC
05
—
167571
—
SC
Enumeration date
01/26/2006
Last updated
11/05/2015
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