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Individual

RANDALL EUGENE KERNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 EDGE ST, SUMMERVILLE, SC 29486-3002
(843) 764-0992
Mailing address
9263 MEDICAL PLAZA DR STE E, CHARLESTON, SC 29406-7112
(843) 572-1228
(843) 576-6168

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11863
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118633
SC
Enumeration date
05/06/2006
Last updated
03/26/2024
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