Individual
KYLE EDWARD CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-7372
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-7372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83518
SC
208M00000X
Hospitalist Physician
Primary
83518
SC
Other
Enumeration date
04/16/2018
Last updated
03/18/2026
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