Individual
DR. KENNETH PETER ORBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1240 21ST AVE N, SUITE 105, MYRTLE BEACH, SC 29577-7401
(843) 839-0270
(843) 839-0276
Mailing address
1240 21ST AVE N STE 105, MYRTLE BEACH, SC 29577-7431
(843) 839-0270
(843) 839-0276
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0513
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T00149
—
SC
Enumeration date
05/10/2006
Last updated
04/28/2011
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