Mincey, Kenneth H.

Mincey, Kenneth H. is an individual health care provider with primary practice located at 3600 Sea Mountain Hwy Suite A, Little River SC 29566-8161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mincey, Kenneth H. can be contacted via phone (843) 399-9774.

Contact Information

Primary practice address
3600 Sea Mountain Hwy Suite A Little River SC 29566-8161
Fax: (843) 399-8657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11033 South Carolina

Profile Details

NPI number 1780660456
LBN Legal business name Mincey, Kenneth H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated May 18th, 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 1780660456 NPPES
South Carolina Other 570923578 BLUE CROSS BLUE SHIELD
South Carolina MEDICAID GP0444 BLUE CROSS BLUE SHIELD

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