Provider Demographics
NPI:1497468110
Name:MAJORS, KIYO
Entity Type:Individual
Prefix:
First Name:KIYO
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 MONTAGUE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-1408
Mailing Address - Country:US
Mailing Address - Phone:864-654-7201
Mailing Address - Fax:
Practice Address - Street 1:906 MONTAGUE AVE STE A
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-1408
Practice Address - Country:US
Practice Address - Phone:864-654-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC92-0722819Medicaid