Maryellen Sullivan Kyle, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32160 Issued in SC

Practice address

30 Bee St
Suite 2100
Charleston, SC 29403-5847

Phone

(843) 792-6500

Fax

(843) 792-6511

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1184680928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751357",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751357",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BEE ST",
            "address_2": "SUITE 2100",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035847",
            "telephone_number": "843-792-6500",
            "fax_number": "843-792-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLE",
        "first_name": "MARYELLEN",
        "middle_name": "SULLIVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "32160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Hyejin Kwon, MD
• Matthew Yongbin Kwon, MD
• Stephanie Kwon, D.O.
• Andrew Richard Kyle, MD
• Katherine Sullivan Kyle, APRN
• Thomas Rogers Kyle, M.D.
• Kristen Punshon Kyler, DO
• Melissa R Kynoski, PA-C
• Robert Frederick Labadie, MD
• Monica Labine Hearney, MD

• Internal Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.