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Contact Information

KENNETH KOSCHNITZKI, MD
125 COMMONWEALTH DR
GREENVILLE, SC29615-4812
 Phone: 864-675-4414
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KENNETH KOSCHNITZKI · (Male)

NPI # 1639131485
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2006
Last updated 01/04/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 28286
  • GA Medicaid 849255148A
  • NC Medicaid 89065EY
  • SC Medicaid 282866
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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