person
Dr. Kenneth E Krzyzaniak, MD
Urology Physician in Myrtle Beach, South Carolina
NPI 1265423479

Kenneth E Krzyzaniak is a Urology Physician based in Fort Myers, SC. Kenneth E Krzyzaniak practices in Myrtle Beach, SC and has the professional credentials of MD. The NPI Number for Kenneth E Krzyzaniak is 1265423479 and holds a License No. MD10499 (South Carolina).

The current practice location address for Kenneth E Krzyzaniak is 823 82Nd Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-449-1010 and via fax at 843-497-6171.

Location: 823 82Nd Pkwy, Myrtle Beach, SC, 33907-1412
person
Provider Profile Details
NPI Number
1265423479
Provider Name
Kenneth E Krzyzaniak
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
823 82Nd Pkwy, Myrtle Beach, SC, 33907-1412
Phone Number
843-449-1010
Fax Number
843-497-6171
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
771701 01 SC WELLCARE
890508M 05 NC
GP1418 05 SC
GP454522 05 SC
104997 05 SC
340011957 01 SC RAILROAD MEDICARE
80023039 01 SC SELECT HEALTH
P00360560 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
823 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider Business Mailing Address Details
Address
823 82Nd Pkwy
City
State
Zip
29572-4607
Phone Number
843-449-1010
Fax Number
843-497-6171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
MD10499 (South Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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