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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1669443479 NPPES
South Carolina Other 26868 MEDCOST
South Carolina Other 4317938 MEDCOST
South Carolina MEDICAID 083983 MEDCOST

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