Desart, Kenneth Michael
Desart, Kenneth Michael is an sole proprietor health care provider with primary practice located at 2575 Elms Center Rd Ste 200 , North Charleston SC 29406-9875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Desart, Kenneth Michael can be contacted via phone (843) 724-1950.Contact Information
Primary practice address
2575 Elms Center Rd Ste 200
North Charleston SC 29406-9875
Phone: (843) 724-1950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 83835 | South Carolina |
Profile Details
| NPI number | 1154556603 |
|---|---|
| LBN Legal business name | Desart, Kenneth Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2009 |
| Last updated | Feb 12th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154556603 | NPPES |
| South Carolina | MEDICAID | 838357 |
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