Individual
DR. W KENNETH EASLEY JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 297-0087
Mailing address
101 S VENTURE DR, GREENVILLE, SC 29615-3571
(864) 297-0087
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10526
SC
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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