Nunnery, Kenneth Edward

Nunnery, Kenneth Edward is an individual health care provider with primary practice located at 1690 Highway 160 W , Fort Mill SC 29708-8024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nunnery, Kenneth Edward can be contacted via phone (803) 547-7541.

Contact Information

Primary practice address
1690 Highway 160 W Fort Mill SC 29708-8024
Fax: (803) 548-0122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7482 South Carolina

Profile Details

NPI number 1083677124
LBN Legal business name Nunnery, Kenneth Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 15th, 2013 - 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 1083677124 NPPES
South Carolina MEDICAID 074822

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