Kevin Arthur Polley
MD | Pediatric Emergency Medicine | Male
Kevin Arthur Polley, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Kevin Arthur Polley is
701 Grove Rd Fl 1, Greenville, South Carolina - 29605-4210. He can be contacted on phone at
864-455-7899 and fax number 864-455-5474.
Kevin Arthur Polley is a sole proprietor of his business.
NPI number (Unique professional ID) for Kevin Arthur Polley is
1912007535 which was assigned by NPPES on 24 Sep, 2006 and it was last updated on 07 Mar, 2023.
Kevin Arthur Polley license number is
18709 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Kevin Arthur Polley has special qualifications to manage emergencies in infants and children.
Complete Profile:
Kevin Arthur Polley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Kevin Arthur Polley |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kevin Arthur Polley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 701 Grove Rd Fl 1
Greenville, SC, 29605-4210
United States |
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| Phone Number : | 864-455-7899 |
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| Fax Number : | 864-455-5474 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912007535 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Sep, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Arthur Polley are as mentioned. Primary taxonomy code for Kevin Arthur Polley, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | 18709 | SC |
| 207PP0204X | Emergency Medicine, Pediatric Emergency Medicine | No | 18709 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Kevin Arthur Polley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 187096 | MEDICAID | SC | |
| 20009601 | Other (non-Medicare) | SC | Select Health |
| 576007863 | Other (non-Medicare) | SC | UHC |
| 576007863 | Other (non-Medicare) | SC | Aetna |
| F76778 | MEDICARE UPIN | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8603 |
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| Fax Number : | 864-454-1130 |
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Business Location:
Patients can refer following map for directions to
Kevin Arthur Polley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.