Kyle J. Lewis
Sports Medicine
2966 Vincent Astor Dr
Johns Island
, South Carolina 29455-8339
Kyle J. Lewis
Sports Medicine
2966 Vincent Astor Dr
Johns Island
, South Carolina 29455-8339
(443) 944-2797
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Kyle J. Lewis
- 2966 Vincent Astor Dr
- Johns Island, SC
- Zip : 29455-8339
- Phone : (443) 944-2797
Second Address
- Kyle J. Lewis
- 2966 Vincent Astor Dr
- Johns Island, SC
- Zip : 29455-8339
- Phone : (443) 944-2797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 2000028805 | MD |
| Y | 213ES0000X | Sports Medicine | 2000028805 | MD |
National Provider Identifier
| NPI | 1407430978 |
|---|---|
| Provider Name | Kyle J. Lewis |
| First Address | Johns Island, SC 29455-8339 |
| Second Address | Johns Island, SC 29455-8339 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.