Individual
KENNETH DAVID BAYLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2801 WADE HAMPTON BLVD, STE 120, TAYLORS, SC 29687-2781
(864) 609-7306
Mailing address
2801 WADE HAMPTON BLVD, STE 120, TAYLORS, SC 29687-2781
(864) 609-7306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26014686A
IN
183500000X
Pharmacist
Primary
6099
SC
Other
Enumeration date
07/14/2010
Last updated
12/04/2012
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