Individual
KISHOR VALAJIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9789 CHARLOTTE HWY, SUITE 1400, FORT MILL, SC 29707-7177
(803) 548-7007
(803) 802-2015
Mailing address
9789 CHARLOTTE HWY, SUITE 1400, FORT MILL, SC 29707-7177
(803) 548-7007
(803) 802-2015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04710
NC
363A00000X
Physician Assistant
Primary
2048
SC
Other
Enumeration date
02/02/2014
Last updated
04/06/2014
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