Organization
DPMKISHNRSC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N KISH DPM (OWNER)
(803) 466-0504
Entity
Organization
Contact information
Practice address
411 LOCKMAN RD, ELGIN, SC 29045-8715
(803) 466-0504
Mailing address
411 LOCKMAN RD, ELGIN, SC 29045-8715
(803) 466-0504
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
144
SC
Other
Enumeration date
03/02/2007
Last updated
10/26/2007
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