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Kyle Gross
Gerontology Nurse Practitioner in Columbia, South Carolina
NPI 1033697362

Kyle Gross is a Gerontology Nurse Practitioner based in Atlanta, SC and is specialized in Gerontology. Kyle Gross practices in Columbia, SC. The NPI Number for Kyle Gross is 1033697362 and holds a License No. 21917 (South Carolina).

The current practice location address for Kyle Gross is 3 Richland Medical Park Dr Ste 510, Columbia, SC and can be reached out via phone at 803-360-6099. You can also correspond with Kyle Gross through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 3 Richland Medical Park Dr Ste 510, Columbia, SC, 30374-3904
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Provider Profile Details
NPI Number
1033697362
Provider Name
Kyle Gross
Credential
Provider Entity Type
Individual
Gender
Male
Address
3 Richland Medical Park Dr Ste 510, Columbia, SC, 30374-3904
Phone Number
803-360-6099
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP5554 05 SC
institution
Provider Business Practice Location Address Details
Address
3 Richland Medical Park Dr Ste 510
City
State
Zip
29203-6854
Phone Number
803-360-6099
Fax Number
person
Provider Business Mailing Address Details
Address
3 Richland Medical Park Dr Ste 510
City
State
Zip
29203-6854
Phone Number
803-360-6099
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
21917 (South Carolina)
Definition
Definition to come...
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