Individual
DR. LAURA LEE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 165, CHARLESTON, SC 29414-5865
(843) 936-4455
(843) 268-2670
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 225-8320
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
SCLN19466
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194667
—
SC
01
—
H59359A634
MEDICARE
SC
01
—
P00799639
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
04/18/2006
Last updated
07/10/2019
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