Individual
KENNETH LAMAR EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
159 MARKET PLACE DR, NORTH AUGUSTA, SC 29860-9274
(803) 349-4115
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6027
SC
Other
Enumeration date
07/31/2009
Last updated
06/03/2025
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