Kyle Gross
NPI #1033697362 in Columbia, South Carolina
Provider Information
- NPI Number
- 1033697362
- Entity Type
- Individual
- Name
- Kyle Gross
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 3 RICHLAND MEDICAL PARK DR STE 510
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-6854
- Phone
- (803) 360-6099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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