Kevin Sponseller, MD
Kevin Sponseller, MD is a Family Practice in Hartsville, South Carolina. Qualified in 2013, 13 years ago. Practices with Hartsville Medical Group LLC, a 68-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Wisconsin.
- Years since qualifying
- 13
- Licensed in
- SC, WI
- In the registry since
- 2014
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
701 Medical Park Dr Ste 207Hartsville, SC 29550-4778
Phone: (433) 832-7648
Fax: (843) 383-5171
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 849 Kellogg Ave, Janesville, WI 53546-2808 — (608) 755-7960
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 39188 (SC) |
|---|---|
| Personal Emergency Response Attendant | Taxonomy 146D00000X |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 62618-20 (WI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 62618-20 (WI) |
Record details
| NPI number | 1851709554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 25, 2014 |
| Last updated in NPPES | August 23, 2023 |
| Certification date | August 23, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Hartsville Medical Group Llc — 68 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |