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Individual

DR. KENDALL NILS SHIRLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 E GREENVILLE ST STE 2000, ANDERSON, SC 29621-1720
(864) 512-5955
(864) 512-5957
Mailing address
2000 E GREENVILLE ST, STE 2000, ANDERSON, SC 29621-1720
(864) 512-5955
(864) 512-5957

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39665
SC
207Q00000X
Family Medicine Physician
LL39665
SC

Other

Enumeration date
06/13/2016
Last updated
09/11/2023
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