Individual
MR. KENNETH DIXON ACKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1177 SUNSET BLVD, WEST COLUMBIA, SC 29169-6863
(803) 794-3440
(803) 791-3862
Mailing address
1177 SUNSET BLVD, COLUMBIA REHABILITATION CLINIC, WEST COLUMBIA, SC 29169-6863
(803) 794-3440
(803) 791-3862
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4243
SC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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