Individual
KENNETH JAMES ALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
273 ASHLEY DANIELLE DR, DUNCAN, SC 29334-8960
(864) 245-7337
Mailing address
273 ASHLEY DANIELLE DR, DUNCAN, SC 29334-8960
(864) 245-7337
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1574
SC
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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