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Contact Information

KYLE LIBBEY, MD
9313 MEDICAL PLAZA DR STE 202
NORTH CHARLESTON, SC29406-9176
 Phone: 843-572-1200
 Fax: 843-553-0424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KYLE LIBBEY · (Male)

NPI Number 1033620943
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2017
Last updated 04/10/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 90431
  • SC Medicaid 889417
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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