Lawrence, Kenneth Graham
Lawrence, Kenneth Graham is an individual health care provider with primary practice located at 406 Memorial Drive Ext , Greer SC 29651-1818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lawrence, Kenneth Graham can be contacted via phone (864) 877-9066.Contact Information
Primary practice address
406 Memorial Drive Ext
Greer SC 29651-1818
Phone: (864) 877-9066
Fax: (864) 848-3291
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8398 | South Carolina |
Profile Details
NPI number | 1669443479 |
---|---|
LBN Legal business name | Lawrence, Kenneth Graham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2006 |
Last updated | Jun 25th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669443479 | NPPES |
South Carolina | Other | 26868 | MEDCOST |
South Carolina | Other | 4317938 | MEDCOST |
South Carolina | MEDICAID | 083983 | MEDCOST |
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