Individual
DR. CHRISTIAN RAYMOND KEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
295 MIDLAND PKWY, SUMMERVILLE, SC 29485-8104
(843) 832-5255
Mailing address
12 PLANTATION CIR, SUMMERVILLE, SC 29485-3472
(304) 646-7991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS12250
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
39372
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009673200
—
FL
Enumeration date
04/15/2010
Last updated
04/14/2017
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