person
Keith Tisheem King, FNP-C
Family Nurse Practitioner in Columbia, South Carolina
NPI 1518533058

Keith Tisheem King is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Keith Tisheem King practices in Columbia, SC and has the professional credentials of FNP-C. The NPI Number for Keith Tisheem King is 1518533058 and holds a License No. 25025 (South Carolina).

The current practice location address for Keith Tisheem King is 3016 Longtown Commons Dr, Columbia, SC and can be reached out via phone at 803-314-0500.

Location: 3016 Longtown Commons Dr, Columbia, SC, 29221-6964
person
Provider Profile Details
NPI Number
1518533058
Provider Name
Keith Tisheem King
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
3016 Longtown Commons Dr, Columbia, SC, 29221-6964
Phone Number
803-314-0500
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3016 Longtown Commons Dr
City
State
Zip
29229-7849
Phone Number
803-314-0500
Fax Number
person
Provider Business Mailing Address Details
Address
3016 Longtown Commons Dr
City
State
Zip
29229-7849
Phone Number
803-314-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
25025 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
25025 (South Carolina)
Definition
Definition to come...
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