person
Kenneth Bryan Heller, MD
General Practice Physician in Belton, South Carolina
NPI 1477588655

Kenneth Bryan Heller is a General Practice Physician based in Belton, SC. Kenneth Bryan Heller practices in Belton, SC and has the professional credentials of MD. The NPI Number for Kenneth Bryan Heller is 1477588655 and holds a License No. 09331 (South Carolina).

The current practice location address for Kenneth Bryan Heller is 113 Wildwood Dr, Belton, SC and can be reached out via phone at 864-940-9701 and via fax at 864-338-8760.

Location: 113 Wildwood Dr, Belton, SC, 29627-0846
person
Provider Profile Details
NPI Number
1477588655
Provider Name
Kenneth Bryan Heller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
113 Wildwood Dr, Belton, SC, 29627-0846
Phone Number
864-940-9701
Fax Number
864-338-8760
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
093311 05 SC
institution
Provider Business Practice Location Address Details
Address
113 Wildwood Dr
City
State
Zip
29627-9687
Phone Number
864-940-9701
Fax Number
864-338-8760
person
Provider Business Mailing Address Details
Address
113 Wildwood Dr
City
State
Zip
29627-9687
Phone Number
864-940-9701
Fax Number
864-338-8760
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
09331 (South Carolina)
Definition
Definition to come...
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