Individual
DR. KEVIN THOMAS TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7805 SABALRIDGE DR, NORTH CHARLESTON, SC 29418-2230
(843) 760-6423
Mailing address
7805 SABALRIDGE DR, NORTH CHARLESTON, SC 29418-2230
(843) 760-6423
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
39276
MA
Other
Enumeration date
10/25/2009
Last updated
10/25/2009
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