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Kevin Dean Hengeveld, PA-C
Surgical Physician Assistant in West Columbia, South Carolina
NPI 1972520740

Kevin Dean Hengeveld is a Surgical Physician Assistant based in West Columbia, SC and is specialized in Surgical. Kevin Dean Hengeveld practices in West Columbia, SC and has the professional credentials of PA-C. The NPI Number for Kevin Dean Hengeveld is 1972520740 and holds a License No. 5601004531 (South Carolina).

The current practice location address for Kevin Dean Hengeveld is 2720 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-791-2460 and via fax at 803-791-2519.

Location: 2720 Sunset Blvd, West Columbia, SC, 29171-6069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972520740
Provider Name
Kevin Dean Hengeveld
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2720 Sunset Blvd, West Columbia, SC, 29171-6069
Phone Number
803-791-2460
Fax Number
803-791-2519
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2720 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4810
Phone Number
803-791-2460
Fax Number
803-791-2519
person
Provider Business Mailing Address Details
Address
2720 Sunset Blvd
City
West Columbia
State
South Carolina
Zip
29169-4810
Phone Number
803-791-2460
Fax Number
803-791-2519
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2387 (South Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5601004531 (Michigan)
Definition
Definition to come...
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