Healthcare Provider Details

I. General information

NPI: 1891375168
Provider Name (Legal Business Name): KEVIN RINEK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E GREENVILLE ST STE 3700
ANDERSON SC
29621-1725
US

IV. Provider business mailing address

2000 E GREENVILLE ST STE 3700
ANDERSON SC
29621-1725
US

V. Phone/Fax

Practice location:
  • Phone: 864-512-1473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number83655
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: