Evans, Kenneth C

Evans, Kenneth C is an individual health care provider with primary practice located at 515 E Carolina Ave , Hartsville SC 29550-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Kenneth C can be contacted via phone (843) 383-0770.

Contact Information

Primary practice address
515 E Carolina Ave Hartsville SC 29550-4311
Phone: (843) 383-0770
Fax: (843) 383-5856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10933 South Carolina

Profile Details

NPI number 1679573422
LBN Legal business name Evans, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Dec 1st, 2008 - about 16 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679573422 NPPES
South Carolina MEDICAID GP2918

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