Doctor Name: | MR. MATTHEW EARL KYER |
NPI Number: | 1003989799 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 704 Gold Hill Rd Suite 1200 Fort Mill, SC - 297158906 |
Business Phone Number: | 7046673380 |
Business Fax Number: | 7046673381 |
Mailing Address: | Po Box 602148, CHARLOTTE |
State: | NC |
Postal Code: | 282602148 |
Phone Number: | 7046673380 |
Fax Number: | 7046673381 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |