Individual
KEVIN D EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
521 FREEDOM AVE, LAKE CITY, SC 29560-3613
(843) 496-3975
Mailing address
521 FREEDOM AVE, LAKE CITY, SC 29560-3613
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
RBS65772
SC
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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