David L. Kyle, Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13578 Issued in SC

Legal business name

DAVID L. KYLE, JR., M.D.

Practice address

801 E Greenville St
Anderson, SC 29621-4070

Phone

(864) 261-8000

Fax

(864) 224-1514

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Ann M Marcie

Title

Practice Manager

Phone

(864) 261-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Family Medicine, LLC Doing business as

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1407969520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214070",
            "telephone_number": "864-261-8000",
            "fax_number": "864-224-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214070",
            "telephone_number": "864-261-8000",
            "fax_number": "864-224-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. KYLE, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MARCIE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-261-8000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "13578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0986",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Family Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Davis Home Medical Supply, LLP
• Amanda S Davis, M.D.

• All providers in Anderson, SC
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.