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Individual

WILLIAM EDWARD KYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
14 OKATIE CENTER BLVD S, SUITE 101, OKATIE, SC 29909
(843) 836-3800
(843) 837-7428
Mailing address
14 OKATIE CENTER BLVD S STE 101, OKATIE, SC 29909-7506
(843) 836-3800
(843) 837-7428

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36426
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
364260
SC
01
P01301190
RAILROAD MEDICARE
SC
Enumeration date
04/24/2008
Last updated
08/08/2018
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