Kearsley, Latisha

Kearsley, Latisha is an individual health care provider with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Kearsley, Latisha can be contacted via phone (843) 663-8000.

Contact Information

Primary practice address
4303 Live Oak Dr Little River SC 29566-9138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8315 South Carolina

Profile Details

NPI number 1114212941
LBN Legal business name Kearsley, Latisha
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2011
Last updated Jan 3rd, 2014 - about 10 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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