Individual
KEVIN ANTHONY RASBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SDVOSB
Contact information
Practice address
482 MARSH POINTE DR, COLUMBIA, SC 29229-7025
(803) 414-7017
(843) 806-3479
Mailing address
482 MARSH POINTE DR, COLUMBIA, SC 29229-7025
(803) 414-7017
(843) 806-3479
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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