Individual
DR. KENNETH EDWARD NUNNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1690 HIGHWAY 160 W, FORT MILL, SC 29708-8024
(803) 547-7541
(803) 548-0122
Mailing address
PO BOX 602362, CHARLOTTE, NC 28260-2362
(803) 547-7541
(803) 548-0122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7482
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074822
—
SC
Enumeration date
04/10/2006
Last updated
02/15/2013
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