Kevin James Gist II
NPI #1497221253 in Manning, South Carolina
Provider Information
- NPI Number
- 1497221253
- Entity Type
- Individual
- Name
- Kevin James Gist II
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 19, 2018
- Last Updated
- Oct 19, 2018
Practice Location
- Address
- 1078 GIST DR
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-5775
- Phone
- (803) 825-7553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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