Kenneth David Kiser (NPI# 1336191246, PAC ID# 7810905049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336191246 |
| PAC ID by PECOS | 7810905049 |
| Professional Enrollment ID | I20171128003114 |
| Full Name | Kenneth David Kiser |
| Organization Legal Name | PRISMA HEALTH-UPSTATE |
| Address |
22725 Hwy 76 E Clinton SC 29325-7527 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5698063162 |
| Number of Group Practice Members | 188 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22725 Hwy 76 E, Clinton, SC 29325-7527 | PRISMA HEALTH-UPSTATE |
| Organization Legal Name | PRISMA HEALTH-UPSTATE |
| Physicians | 162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan G Owens | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 830 S Buncombe Rd, Greer, SC 29650-2400 |
| Marla Melana Cline | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 729 Se Main St, Simpsonville, SC 29681-3218 |
| Jeffry M Holweger | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 175 Patewood Dr, Greenville, SC 29615-3570 |
| Steven D Paveglio | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| George R Sweet | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Tyler Clayton Withrow | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Kim Evans Clark | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Ashlie Pruett Ceips | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 200 Fleetwood Dr, Easley, SC 29640-2022 |
| Rachel Marie Nocito | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Sara Taylor Wooding | Certified Registered Nurse Anesthetist (crna) | Prisma Health-upstate | 701 Grove Rd, Greenville, SC 29605-4210 |
| Street Address |
22725 HWY 76 E |
| City | CLINTON |
| State | SC |
| Zip | 29325-7527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luminita Rezeanu | Pathology | Pathology Associates of Greenville | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Brian Wayne Dach | General Surgery | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Sarah Mallow Kuhn | Hospitalist | Prisma Health University Medical Group | 22725 Hwy 76 E, Medical Office Bldg 3rd Flr, Clinton, SC 29325-7527 |
| John J Kudlak Jr. | Pulmonary Disease | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Bruce Harvey Gray | Peripheral Vascular Disease | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Stormie Albrecht | Nurse Practitioner | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Donald Meredith Wardell | Hospitalist | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Prashant A Patel | Hospitalist | Prisma Health University Medical Group | 22725 Hwy 76 E, Medical Office Bldg 3rd Flr, Clinton, SC 29325-7527 |
| Joseph Andrew Manfredi | Cardiac Electrophysiology | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Lauren D Roberts | Hospitalist | Prisma Health University Medical Group | 22725 Hwy 76 E, Clinton, SC 29325-7527 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Griz | Orthopedic Surgery | Palmetto Bone and Joint Pa | 22971 Hwy 76 E, Clinton, SC 29325 |
| Jerett Donald Tozzi | Emergency Medicine | Greenville Health System | 22725 Hwy 76 E, Clinton, SC 29325 |
| Ryan Von Williams | Chiropractic | 209 Musgrove St, Clinton, SC 29325-2347 | |
| Margaret Shreve | Chiropractic | Ryan Clinic LLC | 209 Musgrove St, Clinton, SC 29325-2347 |
| Bernadine Donaldson | Optometry | Macmillan Optical Inc | 118 Musgrove St, Clinton, SC 29325-2350 |
| Wendy Nix | Nurse Practitioner | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Neal Robert Goodbar | Emergency Medicine | Ghs Partners In Health Inc | 210 S Broad St, Clinton, SC 29325-2505 |
| Gill P Thomas | Optometry | 204 E Carolina Ave, Clinton, SC 29325-2523 | |
| George N Pattis | Podiatry | Upstate Podiatry Group Pa | 1073 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Mark D Herndon | General Surgery | Prisma Health University Medical Group | 1012 Medical Ridge Rd, Clinton, SC 29325-4542 |
| Find all physicians in zip 29325 | |||
| City | CLINTON |
| Zip Code | 29325 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLINTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth David Kiser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.