Individual provider · Type 1 NPI

Kevin Dean Hengeveld, PA-C

Surgical Physician Assistant · West Columbia, SC

NPI number 1972520740 Active

Practice location

2720 Sunset Blvd
West Columbia, SC 29169-4810

Call (803) 791-2460 Map

Fax (803) 791-2519

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X5601004531 (MI)
Surgical Physician Assistant Primary 363AS0400X2387 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1972520740

Kevin Dean Hengeveld, PA-C's National Provider Identifier is 1972520740, issued on Jul 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Columbia, SC. The record was last updated on Nov 6, 2020.