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Matthew Nicholas Kunkelman, PA
Physician Assistant in Holly Hill, South Carolina
NPI 1629473012

Matthew Nicholas Kunkelman is a Physician Assistant based in Orangeburg, SC. Matthew Nicholas Kunkelman practices in Holly Hill, SC and has the professional credentials of PA. The NPI Number for Matthew Nicholas Kunkelman is 1629473012 and holds a License No. 2209 (South Carolina).

The current practice location address for Matthew Nicholas Kunkelman is 187 Bunch Ford Rd, Holly Hill, SC and can be reached out via phone at 803-496-3312 and via fax at 803-496-7713.

Location: 187 Bunch Ford Rd, Holly Hill, SC, 29116-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629473012
Provider Name
Matthew Nicholas Kunkelman
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
187 Bunch Ford Rd, Holly Hill, SC, 29116-1245
Phone Number
803-496-3312
Fax Number
803-496-7713
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC4116 05 SC
423828 01 SC MEDICARE RHC
RHC151 05 SC
428926 01 SC MEDICARE RHC
RHC012 05 SC
4173 01 SC MEDICARE PTAN
RHC020 05 SC
institution
Provider Business Practice Location Address Details
Address
187 Bunch Ford Rd
City
Holly Hill
State
South Carolina
Zip
29059-8224
Phone Number
803-496-3312
Fax Number
803-496-7713
person
Provider Business Mailing Address Details
Address
187 Bunch Ford Rd
City
Holly Hill
State
South Carolina
Zip
29059-8224
Phone Number
803-496-3312
Fax Number
803-496-7713
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2209 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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