Ksor, John

Ksor, John is an sole proprietor health care provider with primary practice located at 2502 Broad St , Camden SC 29020-2238. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Ksor, John can be contacted via phone (803) 425-5510.

Contact Information

Primary practice address
2502 Broad St Camden SC 29020-2238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 563 South Carolina

Profile Details

NPI number 1346384971
LBN Legal business name Ksor, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Apr 27th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346384971 NPPES
South Carolina MEDICAID PD5630

Popular Providers