Individual
MRS. LYNN PHILLIPS KIRVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
214 CIRCLEVIEW DR, LEXINGTON, SC 29072-3917
(809) 957-0754
Mailing address
214 CIRCLEVIEW DR, LEXINGTON, SC 29072-3917
(809) 957-0754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1341
SC
Other
Enumeration date
01/28/2007
Last updated
07/08/2007
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