Kds Consultants, Llc | |
8351 Charlotte Hwy Ste 200 Indian Land SC 29707 | |
(803) 285-1082 | |
(803) 283-4329 |
Full Name | Kds Consultants, Llc |
---|---|
Speciality | Family Medicine |
Location | 8351 Charlotte Hwy Ste 200, Indian Land, South Carolina |
Authorized Official Name and Position | Keith D Shealy (PRESIDENT) |
Authorized Official Contact | 8032851082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kds Consultants, Llc 8351 Charlotte Hwy Ste 200 Indian Land SC 29707-6553 Ph: (803) 285-1082 | Kds Consultants, Llc 8351 Charlotte Hwy Ste 200 Indian Land SC 29707 Ph: (803) 285-1082 |
NPI Number | 1366940959 |
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Provider Enumeration Date | 01/29/2018 |
Last Update Date | 10/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366940959 | NPI | - | NPPES |
TL3972 | Medicaid | SC | |
109242 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10924 (South Carolina) | Primary |
207Q00000X | Family Medicine | 15011 (South Carolina) | Secondary |
Quantum Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Edgewater Corporate Pkwy, Indian Land, SC 29707 Phone: 704-763-5117 | |
Mecklenburg Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7666 Charlotte Highway, Suite 200, Indian Land, SC 29707 Phone: 704-302-9600 Fax: 803-431-8225 | |