Individual provider · Type 1 NPI

Kyle Gross

Primary Care Nurse Practitioner · Columbia, SC

NPI number 1033697362 Active

Practice location

1301 Taylor St Ste 8A
Columbia, SC 29201-2955

Fax (803) 929-2979

Mailing address

300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899

Other practice locations

  • 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 · (803) 360-6099

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X21917 (SC)
Primary Care Nurse Practitioner Primary 363LP2300X21917 (SC)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1033697362

Kyle Gross's National Provider Identifier is 1033697362, issued on Jul 30, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbia, SC. The record was last updated on Oct 5, 2026.