Individual
KENNETH W MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
(864) 751-0479
Mailing address
PO BOX 287, GREENVILLE, SC 29602-0287
(864) 751-3200
(864) 751-3215
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
849
SC
Other
Enumeration date
01/30/2013
Last updated
07/21/2022
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