Thomas C. Kickham in Walhalla - General Practice
Thomas C. Kickham - NPI 1669434437
Thomas C. Kickham is a General Practice in Walhalla, South Carolina. Thomas C. Kickham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas C. Kickham is 1669434437. The last update date is 2022-10-21.
Thomas C. Kickham's current location address is 200 Booker Dr, Walhalla, South Carolina. You can contact this provider via phone number 8646563076. The mailing address for Thomas C. Kickham is 200 Booker Dr, Walhalla, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thomas C. Kickham |
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Address | 200 Booker Dr, Walhalla, South Carolina |
Phone Number | 8646563076 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1669434437 |
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Provider Enumeration Date | 2006-04-05 |
Last Updated Date | 2022-10-21 |
Provider Mailing Address Detail
Address | 200 Booker Dr |
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City | Walhalla |
State | South Carolina (SC) |
Post Code | 296912278 |
Phone Number | 8646563076 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 241 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
89066G1 | NC | -- | |
000925306A | GA | -- | |
2419 | SC | -- |
Post Comment/ Review Below
What is the Thomas C. Kickham's unique identification number?
The Thomas C. Kickham has been assigned the NPI (National Provider Identifier) Number 1669434437 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Thomas C. Kickham?
The Thomas C. Kickham is situated at 200 Booker Dr, in the city of Walhalla, state of SC, with the zip code 296912278.
What is Thomas C. Kickham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas C. Kickham's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Thomas C. Kickham receive the assignment of its 1669434437 from the Centers for Medicare & Medicaid Services?
The Thomas C. Kickham was issued its 1669434437 by the Centers for Medicare & Medicaid Services on 2006-04-05.
As of what date were the details pertaining to Thomas C. Kickham last refreshed?
The information related to the Thomas C. Kickham, including its address, specialty, and other relevant details, was last updated on 2022-10-21.
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