KEVIN P. MCREDMOND MD – NPI #1487621959
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

KEVIN MCREDMOND is a physician located in COLUMBIA, SC. NPPES has assigned the NPI number 1487621959 to KEVIN MCREDMOND on March 03, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 17 years ago on Jul 29, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEVIN MCREDMOND below.

NPI Profile for
KEVIN P. MCREDMOND

NPI Number
1487621959
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEVIN P. MCREDMOND
Credentials
MD
Primary location
7 MEDICAL PARK RD
SUITE 203
COLUMBIA, SC 29203-6873
Phone: (803) 434-3533 Fax: (803) 434-3094
Mailing address
PO BOX 402145
ATLANTA, GA 30384-2145
Phone: (803) 296-7313 Fax: (803) 296-7330
Sole Proprietor
No
Updated
Identifiers

Identifiers for KEVIN MCREDMOND

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCTL4573
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)
SC 15441

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.