MEDICARE: MR. KEVIN DALE HOOD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1003747635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN DALE HOOD

Provider Business Mailing Address
First Line	:	2053 AINSLEY DR
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-5928
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2053 AINSLEY DR
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-5928
Country	:	US
Telephone Number	:	252-721-1937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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Directions to “ MR. KEVIN DALE HOOD ” Practice Location

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