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Individual

KEVIN OLIVER LOKUWADUGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
112 JOHN ST STE 201, EASLEY, SC 29640-1406
(864) 522-4630
(864) 522-4635
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5637
SC
363A00000X
Physician Assistant

Other

Enumeration date
10/20/2022
Last updated
01/26/2026
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