Individual provider · Type 1 NPI

Kenneth Russell Grosslight, MD JD

Interventional Pain Medicine Physician · West Columbia, SC

NPI number 1194770115 Active

Practice location

3227 Sunset Blvd # F, Suite 102
West Columbia, SC 29169-3201

Fax (803) 724-2317

Mailing address

3227-F Sunset Blvd, Suite 102
West Columbia, SC 29169-3201

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000X0101036844 (VA)
Interventional Pain Medicine Physician Primary 208VP0014X12719 (SC)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1194770115

Kenneth Russell Grosslight, MD JD's National Provider Identifier is 1194770115, issued on May 24, 2006. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in West Columbia, SC. The record was last updated on Jul 24, 2015.