Ries, Kenneth Lange

Ries, Kenneth Lange is an individual health care provider with primary practice located at 555 E Cheves St , Florence SC 29506-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ries, Kenneth Lange can be contacted via phone (843) 777-2064.

Contact Information

Primary practice address
555 E Cheves St Florence SC 29506-2617
Phone: (843) 777-2064
Fax: (843) 777-2071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 21867 South Carolina

Profile Details

NPI number 1790745123
LBN Legal business name Ries, Kenneth Lange
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 28th, 2008 - about 16 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 1790745123 NPPES
South Carolina MEDICAID T59255

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