Organization
LIBERTY DOCTORS, LLC
Active
Parent organization
LIBERTY DOCTORS, LLC
Other names
Laura Lee Kinney MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY DOCTORS, LLC
Authorized official
CHELSEY DEVER (CREDENTIALING COORDINATOR)
(843) 225-8320
Entity
Organization
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 165, CHARLESTON, SC 29414-5865
(843) 936-4455
(843) 268-2670
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 225-8320
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194667
—
SC
01
—
A634
MEDICARE PTAN
SC
05
—
GP6738
—
SC
Enumeration date
05/06/2019
Last updated
12/15/2025
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