Individual
DR. MARION MANCE KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7643 RIVERS AVE, SUITE D, NORTH CHARLESTON, SC 29406-4073
(843) 797-0731
(843) 797-7098
Mailing address
324 SHAFTESBURY LN, SUMMERVILLE, SC 29485-8557
(843) 871-0684
(843) 797-7098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0760
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D07605
—
SC
Enumeration date
02/10/2006
Last updated
11/22/2017
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