Individual
HARLEY ADDISON KENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 W MEETING ST STE 200, LANCASTER, SC 29720-2246
(803) 285-7414
(803) 283-4329
Mailing address
1025 W MEETING ST STE 200, LANCASTER, SC 29720-2246
(803) 285-7414
(803) 283-4329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30169
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
03/12/2026
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