W Kenneth Easley JR. MD

NPI 1518942044 - Otolaryngology - 207Y00000X

NPI Details
NPI 1518942044
Gender Male
Enumeration Date 12/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 S VENTURE DR
GREENVILLE SC, 29615-3571, US
Phone (864) 297-0087
Fax
Business Location
101 S VENTURE DR
GREENVILLE SC, 29615-3571, US
Phone (864) 297-0087
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State South Carolina
License Number 10526
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According to our database, Dr. W Kenneth Easley JR. MD NPI is 1518942044, taxonomy code is 207Y00000X and license number is 10526, license state is located at South Carolina. W Kenneth Easley JR. MD physically located at 101 S Venture Dr, Greenville SC, 29615-3571. NPI Number W Kenneth Easley JR. MD has the Individual type.

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1518942044 NPI number is provided on an as is basis without warranty of any kind. 1518942044 is maintained by the National Plan & Provider Enumeration System. The contents of W Kenneth Easley JR. MD are for informational purposes only.