Individual
STEPHEN L KINSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
D39388
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099211900
—
MD
Enumeration date
09/01/2006
Last updated
12/26/2007
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