Individual
KEVIN R RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 SPRING ST, GREENWOOD, SC 29646
(864) 227-6741
(864) 227-2026
Mailing address
1015 SPRING ST, GREENWOOD, SC 29646
(864) 227-6741
(864) 227-2026
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18311
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1122
—
SC
Enumeration date
10/25/2006
Last updated
07/09/2024
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