Individual
DR. RYAN THOMAS KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3 K MART PLZ, GREENVILLE, SC 29605-4442
(864) 568-0798
Mailing address
3 K MART PLZ, GREENVILLE, SC 29605-4442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11364
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11364
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DGD10264
SC
Other
Enumeration date
06/03/2019
Last updated
06/29/2022
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